Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN LOUIS NICHOLSON, MD
Active Sole ProprietorAmbulatory Surgical Center · LOS ALTOS, CA
Registration Details
- NPI Number
- 1023176625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2006 (19.375674502405 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
715 ALTOS OAKS DRLOS ALTOS, CA, 940245402Browse CA providers · Browse ZIP 94024
- Phone
- 6509484730
- Fax
- 6509484732
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.