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

Nicollette L. Ballou, MD

Organization Pediatrics Physician · NPI 1790304707

Nicollette L. Ballou, MD is a Pediatrics Physician in Culver City, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3831 Hughes Ave Ste 602
Culver City, CA 90232-6845
Phone: (310) 659-7867
Fax: (310) 878-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1790304707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicolette Ballou — Ceo · (310) 659-7867
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address3831 Hughes Ave Ste 602, Culver City, CA 90232-6845

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