Individual provider · Type 1 NPI

Nicholas George Nickols, MD, PhD

Student in an Organized Health Care Education/Training Program · Van Nuys, CA

NPI number 1043448277 Active

Practice location

15128 Vose St
Van Nuys, CA 91405-2935

Call (818) 421-5077 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043448277

Nicholas George Nickols, MD, PhD's National Provider Identifier is 1043448277, issued on Jun 25, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Van Nuys, CA. The record was last updated on Jun 25, 2009.