Individual
BAMBI L. NICKELBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11486 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2301
(818) 505-9991
(818) 505-1331
Mailing address
11486 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2301
(818) 505-9991
(818) 505-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G46679
CA
Other
Enumeration date
10/23/2006
Last updated
07/09/2007
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