Individual provider · Type 1 NPI
Nicole R. Agostinelli, MD
General Practice Physician · San Diego, CA
NPI number
1124280391
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other practice locations
- 506 6th St, Brooklyn, NY 11215-3609 · (718) 780-5040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD443518 (PA) |
| Emergency Medicine Physician | 207P00000X | 260276 (NY) |
| Emergency Medicine Physician | 207P00000X | C156148 (CA) |
| Emergency Medicine Physician | 207P00000X | 443518 (PA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1124280391
Nicole R. Agostinelli, MD's National Provider Identifier is 1124280391, issued on Jun 30, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 8, 2026.