Nicksa, Grace Aurore

Nicksa, Grace Aurore is an individual health care provider with primary practice located at 200 Ucla Medical Plz Ste 265 , Los Angeles CA 90095-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Nicksa, Grace Aurore can be contacted via phone (310) 206-2429.

Contact Information

Primary practice address
200 Ucla Medical Plz Ste 265 Los Angeles CA 90095-5724
Phone: (310) 206-2429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 234436 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X A113138 California

Profile Details

NPI number 1528242294
LBN Legal business name Nicksa, Grace Aurore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Apr 6th, 2023 - 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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