NPI 1083026397

Nicodemus Medical Corporation

Organisation Neuromusculoskeletal Medicine & OMM Physician Monterey, CA

Practice location

Address: 910 Major Sherman Ln Suite 300, Monterey, CA 93940-4642
Phone: (831) 664-9614
Fax: (831) 644-9615

Authorised official

Name: Clarence Lyn Nicodemus
Title: President, Medical Director
Phone: (831) 644-9614

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 20A10296 (CA)

Other Neuromusculoskeletal Medicine & OMM providers in California →

Registry record

NPI: 1083026397
Entity type: Organization
NPI issued: 21 May 2014
Record last updated: 14 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.