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

Nicole Rose Detore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184057036

Nicole Rose Detore is a Student in an Organized Health Care Education/Training Program in Culver City, California. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone: (310) 751-5344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184057036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2013
Last updated in NPPESAugust 14, 2013

Other providers in Culver City