Individual provider · Type 1 NPI

Nicole Izetta Bostic, MD

Pediatrics Physician · Riverside, CA

NPI number 1417159161 Active

Practice location

9041 Magnolia Ave, Ste. 305
Riverside, CA 92503-3900

Mailing address

1412 Roadrunner Dr
Corona, CA 92881-0711

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X2007018726 (MO)
Pediatrics Physician Primary 208000000XC55464 (CA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1417159161

Nicole Izetta Bostic, MD's National Provider Identifier is 1417159161, issued on Jun 4, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Riverside, CA. The record was last updated on Mar 18, 2015.