Individual
HARRY HERMAN NICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1669 W AVENUE J, SUITE 301, LANCASTER, CA 93534-2866
(661) 723-3244
(661) 723-3504
Mailing address
1001 N MARTEL AVE, WEST HOLLYWOOD, CA 90046-6611
(323) 436-5019
(323) 337-9142
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G45071
CA
Other
Enumeration date
02/23/2007
Last updated
09/13/2013
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