MEDICARE: BRYAN K. NICHOLS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY10255	CA
2	103TC0700X	Clinical Psychologist	PSY10255	CA

General Provider Information

NPI Number	:	1548451081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN K. NICHOLS PH.D.

Provider Business Mailing Address
First Line	:	9911 W PICO BLVD STE 1550
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-2712
Country	:	US
Telephone Number	:	310-284-8060
Fax Number	:

Provider Business Practice Location Address
First Line	:	9911 W PICO BLVD STE 1550
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-2712
Country	:	US
Telephone Number	:	310-284-8060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	08/08/2007

Similar Medicare Providers

1841595683 — EVELYN PECHTER PSYD
Practice Location Address:

9911 WEST PICO BLVD , SUITE 1050
LOS ANGELES, CA
90035-2712

Practice Phone: 310-622-5741
Practice Fax: 310-765-6342

1669845012 — CLARISSA KNUDSON
Practice Location Address:

1934 HILLHURST AVE
LOS ANGELES, CA
90027-2712

Practice Phone: 310-304-2423
Practice Fax: 310-304-2423

1063452894 — DR. PHILIP ANTHONY RICCHIAZZI JR. D.C.
Practice Location Address:

1940 HILLHURST AVE
LOS ANGELES, CA
90027-2712

Practice Phone: 323-345-6030
Practice Fax:

1033244819 — DR. GRIGOR GEORGE SARKISSIAN DDS
Practice Location Address:

1912 HILLHURST AVE , SUITE A
LOS ANGELES, CA
90027-2712

Practice Phone: 323-662-8835
Practice Fax: 323-662-8892

1922129592 — MRS. BONNIE LEE BAN LMFT
Practice Location Address:

2530 AMHERST AVE
LOS ANGELES, CA
90064-2712

Practice Phone: 310-335-6926
Practice Fax: 310-694-0084

1144437930 — GRIGOR G. SARKISSIAN, DDS, APC
Practice Location Address:

1912 HILLHURST AVE , SUITE A
LOS ANGELES, CA
90027-2712

Practice Phone: 323-662-8835
Practice Fax: 323-662-8892

Directions to “ BRYAN K. NICHOLS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.