Individual provider · Type 1 NPI

Michael Wayne Niccole, MD

Specialist · Newport Beach, CA

NPI number 1801010475 Active

Practice location

1101 Bayside Drive, Suite 100
Newport Beach, CA 92625

Call (949) 718-6900 Map

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.

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About NPI 1801010475

Michael Wayne Niccole, MD's National Provider Identifier is 1801010475, issued on Apr 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 8, 2007.