Berbos, J Nickolas
Berbos, J Nickolas is an sole proprietor health care provider with primary practice located at 1400 N Harbor Blvd Ste 100 , Fullerton CA 92835-4107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berbos, J Nickolas can be contacted via phone (714) 879-0020.Contact Information
Primary practice address
1400 N Harbor Blvd Ste 100
Fullerton CA 92835-4107
Phone: (714) 879-0020
Fax: (714) 526-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G054630 | California |
Profile Details
| NPI number | 1467596114 |
|---|---|
| LBN Legal business name | Berbos, J Nickolas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Oct 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467596114 | NPPES |
| California | MEDICAID | 00G654300 |
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