MS. NISAA MADYUN RN
NPI 1225196587
Registered Nurse - Psychiatric/Mental Health in Los Angeles, CA

Active since December 05, 2006
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064(310) 966-6500(310) 966-9473 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Nisaa Madyun Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NISAA MADYUN RN (NPI 1225196587) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (163WP0808X) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1225196587
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMS. NISAA MADYUNCredential: RN
Location Address11080 W OLYMPIC BLVDLos Angeles, CA 90064-1937
Mailing Address11080 W Olympic BlvdLos Angeles, CA 90064-1937 · (310) 966-6500 · Fax (310) 966-9473
Fax(310) 966-9473
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1225196587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in CA · 163WP0808X
11080 W OLYMPIC BLVD, Los Angeles, CA 90064

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Occupational Therapist
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Student in an Organized Health Care Education/Training Program
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Nurse Practitioner (Psychiatric/Mental Health)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Psychiatry & Neurology (Psychiatry)
11080 W OLYMPIC BLVD, 4TH FLOOR
LOS ANGELES, CA 90064
Community Health Worker
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisaa Madyun's NPI number?

The NPI number for Nisaa Madyun is 1225196587. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Nisaa Madyun located?

Nisaa Madyun practices at 11080 W Olympic Blvd, Los Angeles, CA 90064. The listed phone number is (310) 966-6500.

What is Nisaa Madyun's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Nisaa Madyun was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.