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Nickolas Albert Tomasic, MD
Specialist in Los Angeles, California
NPI 1104875160

Nickolas Albert Tomasic is a Specialist based in Los Angeles, CA. Nickolas Albert Tomasic practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Nickolas Albert Tomasic is 1104875160 and holds a License No. G66614 (California).

The current practice location address for Nickolas Albert Tomasic is 8540 S Sepulveda Blvd, Los Angeles, CA and can be reached out via phone at 310-670-9119 and via fax at 310-670-7282.

Location: 8540 S Sepulveda Blvd, Los Angeles, CA, 90045-3807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104875160
Provider Name
Nickolas Albert Tomasic
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8540 S Sepulveda Blvd, Los Angeles, CA, 90045-3807
Phone Number
310-670-9119
Fax Number
310-670-7282
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G666140 05 CA
institution
Provider Business Practice Location Address Details
Address
8540 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90045-3807
Phone Number
310-670-9119
Fax Number
310-670-7282
person
Provider Business Mailing Address Details
Address
8540 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90045-3807
Phone Number
310-670-9119
Fax Number
310-670-7282
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G66614 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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