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NICOLE ROSE DETORE
NPI 1184057036
Student in an Organized Health Care Education/Training Program in Culver City, CA

Active since August 14, 2013
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 751-5344 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Rose Detore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ROSE DETORE (NPI 1184057036) is an individual student in an organized health care education/training program in Culver City, California and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1184057036
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE ROSE DETORE
Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone(310) 751-5344
Sole ProprietorNo
Enumeration DateAugust 14, 2013
✔ NPI 1184057036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

4760 SEPULVEDA BLVD, Culver City, CA 90230
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL GEORGE TREDINNICK PH.D.
Psychologist (Clinical)
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
MRS. TANNAZ TANI DABIRIAN PH.D
Counselor (Mental Health)
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
REGINA ANNE CAVANAGH MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
MS. ALEXANDRA ALLEN WEDEN LCSW
Social Worker (Clinical)
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
MISS ELIZABETH ARIAS B.A.
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (323) 361-7733
MS. CRISTINA MARIE PEREZ MSW
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
MS. JANE GORDON MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
MICHAEL CHRISTOPHER DURAN B.A.
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Detore's NPI number?

The NPI number for Nicole Detore is 1184057036. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Nicole Detore located?

Nicole Detore practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 751-5344.

What is Nicole Detore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Detore was last updated on August 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.