Organization · Type 2 NPI

Nicholas J Bevilacqua D P M Inc

Foot & Ankle Surgery Podiatrist · Van Nuys, CA

NPI number 1265762090 Active

Practice location

15107 Vanowen St
Van Nuys, CA 91405-4542

Fax (818) 902-5766

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE4859 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1265762090

Nicholas J Bevilacqua D P M Inc's National Provider Identifier is 1265762090, issued on Dec 29, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Van Nuys, CA. The record was last updated on May 24, 2010.