Diana Flavia Nicorici, NP
Family Medicine in Redondo Beach, CA. Individual provider (NPI-1).
NPI number1447921879
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1447921879
- Entity type
- Individual (NPI-1)
- Name
- Diana Flavia Nicorici
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2021
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 95018500 | CA | Yes |
| 207V00000X | Obstetrics & Gynecology | 95018500 | CA |
Practice location
2421 Voorhees Ave Unit ARedondo Beach, CA 90278-2535
Phone 714-553-8333
Mailing address
2421 Voorhees Ave Unit ARedondo Beach, CA 90278-2535
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