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

FREDERIC G NICOLA, M. D.

Active Sole Proprietor

FREDERIC G NICOLA, M. D. is a Specialist healthcare provider located in MARINA DEL REY, California. NPI 1184736480 is currently active in the NPPES registry. Verify at CMS.

Specialist · MARINA DEL REY, CA

Registration Details

NPI Number
1184736480
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.999554137054 yrs)
Last Updated
Apr 14, 2011
Licenses
G38262 (CA)
G38262 (CA)
G38262 (CA)
G38262 (CA)
G38262 (CA)
Sole Proprietor
Yes

Practice Information

Address
13160 MINDANAO WAY
STE 300
MARINA DEL REY, CA, 902926358
Browse CA providers · Browse ZIP 90292
Phone
3105740400
Fax
3105740485
Primary Specialty
Specialist
174400000X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Trauma
Additional Specialty
Sports Medicine (Orthopaedic)

Other Specialist Providers in MARINA DEL REY, CA

Name Credential NPI
DR. NITA RAJANI PATEL M.D. 1295786663
DR. MARK C SCHOLZ M.D. 1346286093
DR. RICHARD Y LAM M.D. 1811925258
MR. DANIEL R MARCUS M.D. 1417061714
DR. GARY BRAZINA M. D. 1376655142
DR. DAVID ALLEN STOKER M.D 1770618480
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.