Tomasic, Nickolas Albert
Tomasic, Nickolas Albert is an sole proprietor health care provider with primary practice located at 3831 Hughes Ave Ste 606 , Culver City CA 90232-6849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Tomasic, Nickolas Albert can be contacted via phone (310) 425-8060.Contact Information
Primary practice address
3831 Hughes Ave Ste 606
Culver City CA 90232-6849
Phone: (310) 425-8060
Fax: (310) 425-8260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G66614 | California |
| Other Service Providers / Specialist | 174400000X | G66614 | California |
Profile Details
| NPI number | 1104875160 |
|---|---|
| LBN Legal business name | Tomasic, Nickolas Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 1st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104875160 | NPPES |
| California | MEDICAID | 00G666140 |
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