Individual
DR. NICOLE M BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4471
(310) 423-0145
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A136037
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A136037
CA
Other
Enumeration date
06/08/2012
Last updated
12/12/2018
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