NPI 1417254459
Frederic G Nicola, MD, a Professional Corporation
Practice location
- Address
- 13160 Mindanao Way STE 300, Marina del Rey, CA 90292-6358
- Phone
- (310) 574-0487
- Mailing address
- 2980 N Beverly Glen Cir STE 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Frederic Nicola
- Title
- President
- Phone
- (310) 574-0487
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1417254459
- Entity type
- Organization
- NPI issued
- 25 Feb 2011
- Record last updated
- 25 Feb 2011
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.