Organization · Type 2 NPI

ST Nicholas Medical Group

Geriatric Medicine (Internal Medicine) Physician · Los Angeles, CA

NPI number 1891026100 Active

Practice location

5520 Santa Monica Blvd, Suite 112
Los Angeles, CA 90038-2932

Fax (323) 860-9053

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XA60865 (CA)

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

2 other providers at this address

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About NPI 1891026100

ST Nicholas Medical Group's National Provider Identifier is 1891026100, issued on Jan 26, 2010. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 26, 2010.