Individual
MR. FADI J NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123
(858) 278-4110
Mailing address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(858) 278-4110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A79360
CA
Other
Enumeration date
05/27/2006
Last updated
07/20/2018
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