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

Michael W. Niccole, MD, Inc

Organization Specialist · NPI 1184909327

Michael W. Niccole, MD, Inc is a Specialist in Corona del Mar, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Bayside Dr Ste 100
Corona del Mar, CA 92625-1702
Phone: (949) 718-6900
Fax: (949) 718-9367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A30397 (CA)

Record details

NPI number1184909327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official April Lee — Administration · (949) 718-6900
NPI enumeratedOctober 19, 2011
Last updated in NPPESOctober 19, 2011
Mailing address1101 Bayside Dr, Suite 100, Corona Del Mar, CA 92625-1702

Other providers in Corona del Mar