Frederic G Nicola in Marina Del Rey - Specialist
Frederic G Nicola - NPI 1184736480
Frederic G Nicola is a Specialist in Marina Del Rey, California. Frederic G Nicola practices all healthcare services and medical treatments related to Specialist. The NPI Number for Frederic G Nicola is 1184736480. The last update date is 2011-04-14.
Frederic G Nicola's current location address is 13160 Mindanao Way, Marina Del Rey, California. You can contact this provider via phone number 3105740400 and fax number 3105740485. The mailing address for Frederic G Nicola is 13160 Mindanao Way, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Frederic G Nicola |
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Address | 13160 Mindanao Way, Marina Del Rey, California |
Phone Number | 3105740400 |
Fax Number | 3105740485 |
Sole Proprietor | Y |
Credentials | M. D. |
NPI Number Detail
NPI Number | 1184736480 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2011-04-14 |
Provider Mailing Address Detail
Address | 13160 Mindanao Way |
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City | Marina Del Rey |
State | California (CA) |
Post Code | 902926358 |
Phone Number | 3105740400 |
Fax Number | 3105740485 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | G38262 |
Definition: 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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
953951031 | CA | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Frederic G Nicola by the Centers for Medicare & Medicaid Services?
The Frederic G Nicola has been issued the NPI (National Provider Identifier) 1184736480 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Frederic G Nicola is physically located?
The Frederic G Nicola is physically situated at the following address: 13160 Mindanao Way, Marina Del Rey, CA, 902926358.
What is Frederic G Nicola's specialized field of practice, and what is the corresponding taxonomy classification code?
The Frederic G Nicola's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the Frederic G Nicola's 1184736480 issued?
The Frederic G Nicola's 1184736480 was issued on 2006-08-31.
When was the Frederic G Nicola's information last updated?
The Frederic G Nicola's information was last updated on 2011-04-14.