Individual
NICOLE MORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 CARRILLO DR STE 103, LOS ANGELES, CA 90048-5400
(310) 854-0529
Mailing address
924 W BEACH AVE APT 10, INGLEWOOD, CA 90302-7348
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
48654
CA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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