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

Nina Gabriele Sitompul

Individual provider Licensed Psychiatric Technician · NPI 1861752677

Nina Gabriele Sitompul is a Licensed Psychiatric Technician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

2500 Wilshire Blvd
Los Angeles, CA 90057-4303
Phone: (213) 639-2660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT33479 (CA)

Record details

NPI number1861752677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012

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