Individual
NICHOLAS ULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 315-6125
(310) 582-7185
Mailing address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 315-6125
(310) 582-7185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A194213
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
12/18/2024
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