Mcnicoll, Krystyna

Mcnicoll, Krystyna is an individual health care provider with primary practice located at 881 Alma Real Dr Ste 101 , Pacific Palisades CA 90272-3792. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcnicoll, Krystyna can be contacted via phone (310) 829-8923.

Contact Information

Primary practice address
881 Alma Real Dr Ste 101 Pacific Palisades CA 90272-3792
Phone: (310) 829-8923
Fax: (424) 212-5936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A42084 California

Profile Details

NPI number 1750392247
LBN Legal business name Mcnicoll, Krystyna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750392247 NPPES
California MEDICAID 00A420840

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