Individual provider · Type 1 NPI

Mithzy Nelson

Specialist · Los Angeles, CA

NPI number 1780534479 Active

Practice location

11645 Wilshire Blvd Ste 1070
Los Angeles, CA 90025-6810

Call (310) 720-6646 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X10018 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780534479

Mithzy Nelson's National Provider Identifier is 1780534479, issued on Feb 2, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 2, 2026.