NICOLE KOULISIS

ENCINO, CA
NPI1073033213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207WX0107X Ophthalmology, Retina Specialist
(Licence: CA  A157849)
Additional Taxonomies207W00000X Ophthalmology
(Licence: CA  A157849)
Enumeration Date2017-06-20
Last Update Date2022-12-01
Business Address
NICOLE KOULISIS MD
5400 BALBOA BLVD STE 126
ENCINO, CA 91316-5202
Phone number: 818-578-0004
Mailing Address
NICOLE KOULISIS MD
5400 BALBOA BLVD STE 126
ENCINO, CA 91316-5202
Phone number: 818-578-0004