Individual
DR. GREGORY MICHAEL NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(562) 863-7011
(562) 864-4560
Mailing address
1600 9TH ST, SACRAMENTO, CA 95814-6404
(916) 654-2431
(916) 654-3186
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A86080
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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