Provider Demographics
NPI:1427880376
Name:CSOMBOR, NINA ANALISE
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:ANALISE
Last Name:CSOMBOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2744 E 11TH ST STE H1
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1443
Mailing Address - Country:US
Mailing Address - Phone:562-309-1006
Mailing Address - Fax:
Practice Address - Street 1:2744 E 11TH ST STE H1
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1443
Practice Address - Country:US
Practice Address - Phone:510-437-8950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program