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Contact Information

MICHAEL W NICCOLE, MD
1101 BAYSIDE DRIVE
SUITE 100
NEWPORT BEACH, CA92625
 Phone: 949-718-6900
 Fax: 949-718-9367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MICHAEL W NICCOLE · (Male)

NPI # 1801010475
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A30397
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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