Individual
SAM N NIKOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 S CENTRAL AVE, GLENDALE, CA 91204-2506
(818) 240-2242
Mailing address
PO BOX 6992, BEVERLY HILLS, CA 90212-6992
(818) 240-2242
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A47763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A447631
—
CA
05
—
00A477630
—
CA
Enumeration date
07/26/2006
Last updated
07/09/2007
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