Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE M BACA, MD
ActiveDR. NICOLE M BACA, MD is a Pediatric Hematology-Oncology healthcare provider located in WEST HOLLYWOOD, California. NPI 1093077802 is currently active in the NPPES registry. Verify at CMS.
Pediatric Hematology-Oncology · WEST HOLLYWOOD, CA
Registration Details
- NPI Number
- 1093077802
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2012 (14.214936557972 yrs)
- Last Updated
- Dec 12, 2018
- Licenses
-
A136037 (CA)A136037 (CA)
Practice Information
- Address
-
8700 BEVERLY BLVDWEST HOLLYWOOD, CA, 900481804Browse CA providers · Browse ZIP 90048
- Phone
- 3104234471
- Fax
- 3104230145
- Primary Specialty
-
Pediatric Hematology-Oncology
2080P0207X
- Additional Specialty
- Pediatric Hematology-Oncology
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.