Frederic G Nicola, MD, a Professional Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION

Practice address

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292-6358

Phone

(310) 574-0487

NPI assigned

Feb 25, 2011

Organization subpart

Yes

Parent organization

FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frederic Nicola, MD

Title

President

Phone

(310) 574-0487

Specialties & licenses 1

Addresses

Part of

Frederic G Nicola MD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1417254459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "STE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-574-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "NICOLA",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-574-0487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Francis Foran, M.D.
• Marcie Mason Forouzan
• Stephanie Noelle Francis, MA, LMFT
• Lorry L Franco, PT
• Beverly B. Frank, PSY.D.
• Frederic G Nicola, MD, a Professional Corporation
• Nicolette Renee Fregoso
• William George Frith, D.D.S.
• Daniel Frochtzwajg, D.O.
• Daisy Fuentes

• Non-Pharmacy Dispensing Site in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.