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FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
NPI 1417254459
Non-Pharmacy Dispensing Site in Marina Del Rey, CA

Active since February 25, 2011
13160 MINDANAO WAY, STE 300, MARINA DEL REY, CA 90292(310) 574-0487 Get Directions Write a Review

NPPES record last updated: February 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederic G Nicola, Md, A Professional Corporation NPPES

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

FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION (NPI 1417254459) is a healthcare organization registered as a non-pharmacy dispensing site in Marina Del Rey, California and active in the NPI registry since February 2011. The organization lists Frederic Nicola, President, as its authorized official.

NPPES Registry Identity

NPI1417254459
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION
Location Address13160 MINDANAO WAY, STE 300Marina Del Rey, CA 90292-6358
Mailing Address2980 N Beverly Glen Cir, Ste 301Los Angeles, CA 90077-1726 · (310) 474-9809
Phone(310) 574-0487
Organization SubpartYes
Authorized OfficialFrederic NicolaPresident · (310) 574-0487
Enumeration DateFebruary 25, 2011
✔ NPI 1417254459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
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.)
13160 MINDANAO WAY, Marina Del Rey, CA 90292
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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. RICHARD GEORGE BOUDREAU D.D.S.
Dentist (Oral and Maxillofacial Surgery)
13160 MINDANAO WAY, SUITE 120
MARINA DEL REY, CA 90292
Los Angeles County (310) 822-6161
SARAH S. MILLER MD, INCORPORATED
Physical Medicine & Rehabilitation
13160 MINDANAO WAY, SUITE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400
DAVID KAPLOWITZ MD
Internal Medicine
13160 MINDANAO WAY, SUITE 252
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-4993
MS. LISA ANNE PENNY M.A.
Marriage & Family Therapist
13160 MINDANAO WAY, #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 990-9164
DR. NATALIA MARIA HOMYAK DDS
Dentist (General Practice)
13160 MINDANAO WAY, ROOM 170
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-6400
DR. ROBERT S BRAY JR. M.D.
Neurological Surgery
13160 MINDANAO WAY, SUITE #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 854-3800
DR. RAE L HADLEY PSY.D.
Psychologist (Clinical)
13160 MINDANAO WAY
MARINA DEL REY, CA 90292
Los Angeles County (925) 282-1778
DR. JEREMY SCOTT SUMMERS D.C.
Chiropractor (Sports Physician)
13160 MINDANAO WAY, SUITE 308
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0395

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 Frederic G Nicola, MD, A Professional Corporation's NPI number?

The NPI number for Frederic G Nicola, MD, A Professional Corporation is 1417254459. It was assigned to this organization in the NPPES registry on February 25, 2011.

Where is Frederic G Nicola, MD, A Professional Corporation located?

Frederic G Nicola, MD, A Professional Corporation is located at 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292. The listed phone number is (310) 574-0487.

What is Frederic G Nicola, MD, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Frederic G Nicola, MD, A Professional Corporation was last updated on February 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.