Organization · Type 2 NPI

Michael W. Niccole, Md, Inc.

Specialist · Corona Del Mar, CA

NPI number 1184909327 Active

Practice location

1101 Bayside Dr, Suite 100
Corona Del Mar, CA 92625-1702

Fax (949) 718-9367

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA30397 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

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About NPI 1184909327

Michael W. Niccole, Md, Inc.'s National Provider Identifier is 1184909327, issued on Oct 19, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Corona Del Mar, CA. The record was last updated on Oct 19, 2011.