Dr. Nicole R Agostinelli, M.D.
General Practice in San Diego, CA. Individual provider (NPI-1).
NPI number1124280391
StatusActive
Last updated in NPPESJan 8, 2026
Details
- NPI
- 1124280391
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole R Agostinelli
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2008
- Certification date
- Jan 8, 2026
- Last updated
- Jan 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | MD443518 | PA | Yes |
| 207P00000X | Emergency Medicine | 260276 | NY | |
| 207P00000X | Emergency Medicine | C156148 | CA | |
| 207P00000X | Emergency Medicine | 443518 | PA |
Practice location
200 W Arbor DrSan Diego, CA 92103
Phone 619-543-6222
Mailing address
Po Box 232410San Diego, CA 92193-2410
Other practice locations
506 6th St
Brooklyn, NY 11215-3609
Brooklyn, NY 11215-3609
Phone 718-780-5040 · Fax 718-780-3153
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