Individual
NICKOLAS ALBERT TOMASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3831 HUGHES AVE STE 606, CULVER CITY, CA 90232-6849
(310) 425-8060
(310) 425-8260
Mailing address
3831 HUGHES AVE STE 606, CULVER CITY, CA 90232-6849
(310) 425-8060
(104) 258-2603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G66614
CA
208800000X
Urology Physician
Primary
G66614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G666140
—
CA
Enumeration date
05/08/2006
Last updated
07/01/2025
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