Nichols, Clinton R

Nichols, Clinton R is an individual health care provider with primary practice located at 8745 Aero Drive Suite 200, San Diego CA 92123-1774. He recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nichols, Clinton R can be contacted via phone (858) 565-0950.

Contact Information

Primary practice address
8745 Aero Drive Suite 200 San Diego CA 92123-1774
Fax: (858) 244-1100
Website:

Profile Details

NPI number 1750355657
LBN Legal business name Nichols, Clinton R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 9th, 2007 - about 17 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 1750355657 NPPES
California MEDICAID GR0083816
California MEDICAID TD009B
California MEDICAID GR0083817
California MEDICAID GR0083812
California MEDICAID GR0083815
California MEDICAID GR0083813
California MEDICAID GR083810
California MEDICAID GR0083811
California MEDICAID GR0083814
California MEDICAID ZZZ75341Z

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