Individual
BEATA A NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
18111 COASTLINE DR APT 4, MALIBU, CA 90265-5746
(310) 230-4000
(310) 454-1988
Mailing address
18111 COASTLINE DR 4, MALIBU, CA 90265
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A51219
CA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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