Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIKOLAY NIKOLAYEVICH LOBODA, PA
Active Sole ProprietorNIKOLAY NIKOLAYEVICH LOBODA, PA is a Physician Assistant healthcare provider located in SAN JACINTO, California. NPI 1316252356 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAN JACINTO, CA
Registration Details
- NPI Number
- 1316252356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2010 (15.970299311825 yrs)
- Last Updated
- Aug 14, 2010
- License
-
PA21040 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1692 S SANTA FE AVE#F-52SAN JACINTO, CA, 925835067Browse CA providers · Browse ZIP 92583
- Phone
- 9516546596
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAN JACINTO, CA
| Name | Credential | NPI |
|---|---|---|
| SARA ELIZABETH BARNES | M.S, P.A.-C. | 1518180702 |
| MR. KENRICK CARLYLE BOURNE | PA-C | 1063690931 |
| TAIWO OLAWUYI | — | 1508739681 |
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.