Individual
NICKLAUS NISHIJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2067 W VISTA WAY STE 265, VISTA, CA 92083-6034
(760) 463-9155
Mailing address
2067 W VISTA WAY STE 265, VISTA, CA 92083-6034
(760) 463-9155
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6118
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2021
Last updated
04/29/2025
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