Frederic G Nicola in Marina Del Rey - Foot And Ankle Surgery

Frederic G Nicola - NPI 1184736480

Frederic G Nicola is a Foot And Ankle Surgery in Marina Del Rey, California. Frederic G Nicola practices all healthcare services and medical treatments related to Foot And Ankle Surgery. 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
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
Provider Enumeration Date 2006-08-31
Last Updated Date 2011-04-14

Provider Mailing Address Detail

Address 13160 Mindanao Way
City Marina Del Rey
State California (CA)
Post Code 902926358
Phone Number 3105740400
Fax Number 3105740485

Provider's Primary Taxonomy Detail

Speciality Foot And Ankle Surgery
Taxonomy 207Xx0004X
Licence No G38262
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
953951031 CA TAX ID

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FAQs about Frederic G Nicola

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 Foot And Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0004X.

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.

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