ST NICHOLAS MEDICAL GROUP

LOS ANGELES, CA
NPI1891026100
Entity TypeOrganization
Authorized ContactJACOB N FLORES
Partner
323-860-9054
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA  A60865)
Enumeration Date2010-01-26
Last Update Date2010-08-26
Business Address
ST NICHOLAS MEDICAL GROUP
5520 SANTA MONICA BLVD SUITE 112
LOS ANGELES, CA 90038-2932
Phone number: 323-860-9054
Mailing Address
ST NICHOLAS MEDICAL GROUP
5520 SANTA MONICA BLVD SUITE 112
LOS ANGELES, CA 90038-2932
Phone number: 323-860-9054