Individual
NICOLE KOULISIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5400 BALBOA BLVD STE 126, ENCINO, CA 91316-5202
(818) 578-0004
(818) 578-0002
Mailing address
5400 BALBOA BLVD STE 126, ENCINO, CA 91316-5202
(818) 578-0004
(818) 578-0002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A157849
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A157849
CA
Other
Enumeration date
06/20/2017
Last updated
12/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us