Provider Demographics
NPI:1891175550
Name:BREMMER, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BREMMER
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 1:131 1/8 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-2492
Mailing Address - Country:US
Mailing Address - Phone:626-422-9867
Mailing Address - Fax:
Practice Address - Street 1:10705 S. ALAMEDA STREET
Practice Address - Street 2:
Practice Address - City:LOS ANGELS
Practice Address - State:CA
Practice Address - Zip Code:90262
Practice Address - Country:US
Practice Address - Phone:323-568-4597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)