Individual
DR. JUSTIN SCOTT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5841
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A199683
CA
208000000X
Pediatrics Physician
Primary
A199683
CA
Other
Enumeration date
03/21/2018
Last updated
02/25/2025
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