Lee, Nicole Mariko Elby

Lee, Nicole Mariko Elby is an individual health care provider with primary practice located at 24255 Pacific Coast Hwy , Malibu CA 90263-3999. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is her primary health care specialty. Lee, Nicole Mariko Elby can be contacted via phone (310) 506-4000.

Contact Information

Primary practice address
24255 Pacific Coast Hwy Malibu CA 90263-3999
Phone: (310) 506-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT292166 California

Profile Details

NPI number 1861917577
LBN Legal business name Lee, Nicole Mariko Elby
Credentials PT,DPT,SCS,ATC,CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2017
Last updated Dec 22nd, 2022 - about 2 years ago

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.

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