Healthcare Provider Details

I. General information

NPI: 1053744110
Provider Name (Legal Business Name): NICOLE ARGUINZONI-GIL N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 W OLYMPIC BLVD SUITE 301
LOS ANGELES CA
90064-1608
US

IV. Provider business mailing address

11340 W OLYMPIC BLVD SUITE 301
LOS ANGELES CA
90064-1608
US

V. Phone/Fax

Practice location:
  • Phone: 310-914-5010
  • Fax: 310-914-3332
Mailing address:
  • Phone: 310-914-5010
  • Fax: 310-914-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-569
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT 60284520
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: