person
Charles Phifer Nicholson JR., MD,MTS
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1437919909

Charles Phifer Nicholson JR. is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Charles Phifer Nicholson JR. practices in Los Angeles, CA and has the professional credentials of MD,MTS. The NPI Number for Charles Phifer Nicholson JR. is 1437919909 and holds a License No. (California).

The current practice location address for Charles Phifer Nicholson JR. is 757 Westwood Plz # Surgery, Los Angeles, CA and can be reached out via phone at 310-270-7641.

Location: 757 Westwood Plz # Surgery, Los Angeles, CA, 90095-7419
person
Provider Profile Details
NPI Number
1437919909
Provider Name
Charles Phifer Nicholson JR.
Credential
MD,MTS
Provider Entity Type
Individual
Gender
Male
Address
757 Westwood Plz # Surgery, Los Angeles, CA, 90095-7419
Phone Number
310-270-7641
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
757 Westwood Plz # Surgery
City
State
Zip
90095-8344
Phone Number
310-270-7641
Fax Number
person
Provider Business Mailing Address Details
Address
757 Westwood Plz # Surgery
City
State
Zip
90095-8344
Phone Number
310-270-7641
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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