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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIM MCNICOLL MD INC

Active Organization

TIM MCNICOLL MD INC is a Family Medicine organization located in SIMI VALLEY, California. NPI 1144475864 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SIMI VALLEY, CA

Registration Details

NPI Number
1144475864
Provider Type
Organization
NPI Issued
Nov 21, 2008 (17.737425299691 yrs)
Last Updated
Feb 3, 2009
License
G48100 (CA)

Practice Information

Address
2876 SYCAMORE DR
SUITE 101
SIMI VALLEY, CA, 930651530
Browse CA providers · Browse ZIP 93065
Phone
8055276424
Fax
8055220115
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in SIMI VALLEY, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.