Nicholas John Phreaner
Internist - Cardiovascular Disease
200 W Arbor Dr
San Diego
, California 92103-9000
Nicholas John Phreaner
Internist - Cardiovascular Disease
200 W Arbor Dr
San Diego
, California 92103-9000
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Nicholas John Phreaner
- Po Box 232410
- San Diego, CA
- Zip : 92193-2410
- Phone :
Second Address
- Nicholas John Phreaner
- 200 W Arbor Dr
- San Diego, CA
- Zip : 92103-9000
- Phone : (800) 926-8273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | A126789 | CA |
National Provider Identifier
| NPI | 1023373040 |
|---|---|
| Provider Name | Nicholas John Phreaner |
| First Address | San Diego, CA 92193-2410 |
| Second Address | San Diego, CA 92103-9000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2012 |
| Last Update Date | 17/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05350261 | (05) | MS |
| 2393375 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.