Organization
NICHOLAS R. NIKOLOV, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R. NIKOLOV M.D. (OWNER)
(310) 247-1932
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, #207, BEVERLY HILLS, CA 90210-4310
(310) 247-1932
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G78745
CA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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