Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G65021 | CA |
NPI | 1285676395 |
---|---|
Provider Name | Nicholas M Halikis |
First Address | Torrance, CA 90503-4009 |
Second Address | Torrance, CA 90503-4009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 04/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F11514 | (02) | CA |