Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adi Nisimov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124674734

Adi Nisimov is a Student in an Organized Health Care Education/Training Program in Encino, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4923 Densmore Ave
Encino, CA 91436-1537
Phone: (818) 288-5314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14515 Hamlin St, Van Nuys, CA 91411-1686 — (818) 989-7475

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 23005 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124674734
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2019
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address4923 Densmore Ave, Encino, CA 91436-1537

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