Nassar, Nicolas

Nassar, Nicolas is an individual health care provider with primary practice located at 406 E Vanderbilt Way , San Bernardino CA 92408-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Nassar, Nicolas can be contacted via phone (909) 886-1600.

Contact Information

Primary practice address
406 E Vanderbilt Way San Bernardino CA 92408-3552
Phone: (909) 886-1600
Fax: (909) 866-7788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A76218 California

Profile Details

NPI number 1104851609
LBN Legal business name Nassar, Nicolas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 12th, 2017 - about 7 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 1104851609 NPPES
California MEDICAID 00A762180

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