Nicola, Frederic G

Nicola, Frederic G is an sole proprietor health care provider with primary practice located at 13160 Mindanao Way Ste 300, Marina Del Rey CA 90292-6358. He recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Other Service Providers / Specialist is his primary health care specialty. Nicola, Frederic G can be contacted via phone (310) 574-0400.

Contact Information

Primary practice address
13160 Mindanao Way Ste 300 Marina Del Rey CA 90292-6358
Phone: (310) 574-0400
Fax: (310) 574-0485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G38262 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G38262 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G38262 California
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X G38262 California
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X G38262 California

Profile Details

NPI number 1184736480
LBN Legal business name Nicola, Frederic G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Apr 14th, 2011 - about 15 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 1184736480 NPPES
California Other 953951031 TAX ID

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