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Nicollette L. Ballou, M.d.
Pediatrics Physician in Culver City, California
NPI 1790304707

Nicollette L. Ballou, M.d. is a Pediatrics Physician based in Culver City, CA. Nicollette L. Ballou, M.d. practices in Culver City, CA. The NPI Number for Nicollette L. Ballou, M.d. is 1790304707 and holds a License No. (California).

The current practice location address for Nicollette L. Ballou, M.d. is 3831 Hughes Ave Ste 602, Culver City, CA and can be reached out via phone at 310-659-7867 and via fax at 310-878-2118.

Location: 3831 Hughes Ave Ste 602, Culver City, CA, 90232-6845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790304707
Provider Name
Nicollette L. Ballou, M.d.
Credential
Provider Entity Type
Organization
Address
3831 Hughes Ave Ste 602, Culver City, CA, 90232-6845
Phone Number
310-659-7867
Fax Number
310-878-2118
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457420077 05 CA
institution
Provider Business Practice Location Address Details
Address
3831 Hughes Ave Ste 602
City
Culver City
State
California
Zip
90232-6845
Phone Number
310-659-7867
Fax Number
310-878-2118
person
Provider Business Mailing Address Details
Address
3831 Hughes Ave Ste 602
City
Culver City
State
California
Zip
90232-6845
Phone Number
310-659-7867
Fax Number
310-878-2118
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
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Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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