Frederic G Nicola, Md, a Professional Corporation

NPI #1417255316 in Marina Del Rey, California

Provider Information

NPI Number
1417255316
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
Orthopaedic Surgery
Enumeration Date
Mar 2, 2011
Last Updated
Mar 2, 2011

Practice Location

Address
13160 MINDANAO WAY
Address 2
STE 300
ZIP Code
90292-6358
Phone
(310) 574-0487

Authorized Official

Name
FREDERIC NICOLA, M.D.
Title
PRESIDENT
Phone
(310) 574-0487

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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