Individual
KEVIN NIKOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 REDONDO AVE, LONG BEACH, CA 90814-1453
(562) 621-9509
(562) 621-9566
Mailing address
654 REDONDO AVE, LONG BEACH, CA 90814-1453
(562) 621-9509
(562) 621-9566
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5816
CA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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