Individual
MR. NICHOLAS THEODORE TEPELIDIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11631 VICTORY BLVD, SUITE 201, N HOLLYWOOD, CA 91606-3572
(818) 760-9539
(818) 760-9541
Mailing address
11631 VICTORY BLVD, SUITE 201, N HOLLYWOOD, CA 91606-3572
(818) 760-9539
(818) 760-9541
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3728
CA
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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