NICOLLETTE L. BALLOU, M.D.

CULVER CITY, CA
NPI1790304707
Entity TypeOrganization
Authorized ContactNICOLETTE LEE BALLOU
CEO
310-659-7867
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
NICOLLETTE L. BALLOU, M.D.
3831 HUGHES AVE STE 602
CULVER CITY, CA 90232-6845
Phone number: 310-659-7867
Mailing Address
NICOLLETTE L. BALLOU, M.D.
3831 HUGHES AVE STE 602
CULVER CITY, CA 90232-6845
Phone number: 310-659-7867