FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION is a non pharmacy dispensing site in Marina Del Rey, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION NPI is 1417254459. The provider is registered as an organization entity type.
The provider's business location address is:
13160 MINDANAO WAY
STE 300
MARINA DEL REY, CA
ZIP 90292-358
Phone: (310) 574-0487
The provider's authorized official is Frederic Nicola .
The authorized official title is President and has the following contact phone number (310) 574-0487.
The enumeration date for this NPI number is 2/25/2011 and was last updated on 2/25/2011.