Individual
MS. NIKITA VASHI BACLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD STE 580, SANTA MONICA, CA 90404-2000
(310) 829-5471
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
168697
CA
207R00000X
Internal Medicine Physician
MD60874954
WA
207RH0003X
Hematology & Oncology Physician
Primary
A168697
CA
207RX0202X
Medical Oncology Physician
A168697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649632696
—
WA
Enumeration date
03/28/2016
Last updated
07/01/2025
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