NICHOLAS GENERALES

SHERMAN OAKS, CA
NPI1437656923
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A19090)
Enumeration Date2018-04-10
Last Update Date2021-10-08
Business Address
NICHOLAS GENERALES DO
4849 VAN NUYS BLVD STE 100
SHERMAN OAKS, CA 91403-2115
Phone number: 818-646-4928
Mailing Address
NICHOLAS GENERALES DO
807 N KEMP ST
BURBANK, CA 91505-2720
Phone number: 818-426-6864