Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NICOLLETTE L. BALLOU, M.D.
Active
Organization
NICOLLETTE L. BALLOU, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE LEE BALLOU MD (CEO)
(310) 659-7867
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE STE 602, CULVER CITY, CA 90232-6845
(310) 659-7867
(310) 878-2118
Mailing address
3831 HUGHES AVE STE 602, CULVER CITY, CA 90232-6845
(310) 659-7867
(310) 878-2118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457420077
—
CA
Enumeration date
04/09/2020
Last updated
04/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up