Frederic G Nicola, Md, a Professional Corporation
NPI #1417254459 in Marina Del Rey, California
Provider Information
- NPI Number
- 1417254459
- Entity Type
- Organization
- Organization Name
- Frederic G Nicola, Md, a Professional Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 25, 2011
- Last Updated
- Feb 25, 2011
Practice Location
- Address
- 13160 MINDANAO WAY
- Address 2
- STE 300
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-6358
- Phone
- (310) 574-0487
Authorized Official
- Name
- FREDERIC NICOLA, MD
- Title
- PRESIDENT
- Phone
- (310) 574-0487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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