Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE KOULISIS, MD
ActiveNICOLE KOULISIS, MD is a Sports Medicine (Emergency) healthcare provider located in ENCINO, California. NPI 1073033213 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · ENCINO, CA
Registration Details
- NPI Number
- 1073033213
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2017 (9.1912113526811 yrs)
- Last Updated
- Dec 1, 2022
- Licenses
-
A157849 (CA)A157849 (CA)
Practice Information
- Address
-
5400 BALBOA BLVD STE 126ENCINO, CA, 913165202Browse CA providers · Browse ZIP 91316
- Phone
- 8185780004
- Fax
- 8185780002
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in ENCINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTIAN JAMES SANFILIPPO | M.D. | 1851653547 |
| DR. STAVROS N. MOYSIDIS | M.D. | 1780023929 |
| JESSICA LELY CAO | — | 1417301227 |
| DR. ERIC JUNG | MD | 1740749076 |
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.