Individual provider · Type 1 NPI

Charles Phifer Nicholson Jr., MD, MTS

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1437919909 Active

Practice location

757 Westwood Plz # Surgery
Los Angeles, CA 90095-8344

Call (310) 270-7641 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 1437919909

Charles Phifer Nicholson Jr., MD, MTS's National Provider Identifier is 1437919909, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 20, 2024.