Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederic G Nicola, MD, a Professional Corporation

Organization Non-Pharmacy Dispensing Site · NPI 1417254459

Frederic G Nicola, MD, a Professional Corporation is a Non-Pharmacy Dispensing Site in Marina del Rey, California. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

13160 Mindanao Way Ste 300
Marina del Rey, CA 90292-6358
Phone: (310) 574-0487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1417254459
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFrederic G Nicola, MD, a Professional Corporation
Authorized official Frederic Nicola — President · (310) 574-0487
NPI enumeratedFebruary 25, 2011
Last updated in NPPESFebruary 25, 2011
Mailing address2980 N Beverly Glen Cir, Ste 301, Los Angeles, CA 90077-1726

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