Nicholas, Lisa A

Nicholas, Lisa A is an individual health care provider with primary practice located at 200 Medical Plz Ste 430, Los Angeles CA 90095-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Nicholas, Lisa A can be contacted via phone (310) 794-7274.

Contact Information

Primary practice address
200 Medical Plz Ste 430 Los Angeles CA 90095-0001
Phone: (310) 794-7274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A37695 California

Profile Details

NPI number 1750380648
LBN Legal business name Nicholas, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Apr 19th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750380648 NPPES
California Other 00A376950 MEDI CAL

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