Koulisis, Nicole

Koulisis, Nicole is an individual health care provider with primary practice located at 5400 Balboa Blvd Ste 126 , Encino CA 91316-5202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Koulisis, Nicole can be contacted via phone (818) 578-0004.

Contact Information

Primary practice address
5400 Balboa Blvd Ste 126 Encino CA 91316-5202
Phone: (818) 578-0004
Fax: (818) 578-0002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A157849 California
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X A157849 California

Profile Details

NPI number 1073033213
LBN Legal business name Koulisis, Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Dec 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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