Individual
DR. JULIAN J. NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Mailing address
7891 PIPIT PL, SAN DIEGO, CA 92129-4532
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A72818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A728180
—
CA
01
—
110218178
RAILROAD MEDICARE
—
01
—
B179
CHAMPUS
—
01
—
F675
CHAMPUS
—
Enumeration date
09/03/2006
Last updated
03/05/2026
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