FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION

MARINA DEL REY, CA
NPI1417254459
Entity TypeOrganization
Authorized ContactFREDERIC NICOLA
President
310-574-0487
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2011-02-25
Last Update Date2011-02-25
Business Address
FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292-6358
Phone number: 310-574-0487
Mailing Address
FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
2980 N BEVERLY GLEN CIR STE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809