Tim Mcnicoll Md Inc

LBN: Tim Mcnicoll Md Inc
Tim Mcnicoll Md Inc is an health care organization with primary practice located at 2876 Sycamore Dr Suite 101, Simi Valley CA 93065-1530. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tim Mcnicoll Md Inc can be contacted via phone (805) 527-6424, or through Mcnicoll, Timothy J via phone (805) 527-6424.

Contact Information

Primary practice address
2876 Sycamore Dr Suite 101 Simi Valley CA 93065-1530
Phone: (805) 527-6424
Fax: (805) 522-0115
Website:
Map and Directions
Authorized official contact:
Name: Mcnicoll, Timothy J Doctor of Medicine (MD)
Phone: (805) 527-6424

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G48100 California

Profile Details

NPI number 1144475864
LBN Legal business name Tim Mcnicoll Md Inc
DBA Doing business as
Authorized official Mcnicoll, Timothy J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2008
Last updated Feb 3rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144475864 NPPES
California MEDICAID 00G481000

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