Organization
NICOLE C. RECORD DO, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE C RECORD DO (PRESIDENT)
(323) 264-6296
Entity
Organization
Contact information
Practice address
3800 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-1805
(323) 264-6296
(323) 264-6297
Mailing address
3800 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-1805
(323) 264-6296
(323) 264-6297
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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