Individual
DR. NEILDA ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2121 WILSHIRE BLVD STE 101, SANTA MONICA, CA 90403-5742
(310) 828-0011
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(858) 450-9218
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1564
MA
213E00000X
Podiatrist
E6100
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MA
Enumeration date
07/01/2022
Last updated
06/16/2025
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