Individual provider · NPI-1

Nicholas Bevins, MD PhD

Pathology, Clinical Pathology · San Diego, CA

NPI number1043862857
StatusActive
Last updated in NPPESFeb 1, 2023

Details

NPI
1043862857
Entity type
Individual (NPI-1)
Name
Nicholas Bevins
Credential
MD PhD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 11, 2019
Certification date
Feb 1, 2023
Last updated
Feb 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZC0006X Pathology, Clinical PathologyA164134CAYes

Practice location

1835 Edgemont St
San Diego, CA 92102-1207

Phone 831-277-9487

Mailing address

2801 B St Unit 2139
San Diego, CA 92102-2208

Phone 831-277-9487

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