Individual provider · Type 1 NPI

Nicole Poliquin, MD

Child & Adolescent Psychiatry Physician · Los Angeles, CA

NPI number 1548357692 Active

Practice location

1800 Fairburn Ave, Suite #105
Los Angeles, CA 90025-5958

Call (310) 474-8388 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XA30419 (CA)
Child & Adolescent Psychiatry Physician Primary 2084P0804XA30419 (CA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1548357692

Nicole Poliquin, MD's National Provider Identifier is 1548357692, issued on Oct 9, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2025.