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NPI Code Detail

MEDICARE: NICHOLAS THU KHOA DO

MEDICARE:   NICHOLAS THU KHOA DO
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
12086S0122XPlastic and Reconstructive Surgery PhysicianA168046CA

General Provider Information

NPI Number : 1659666014
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS THU KHOA DO
Provider Business Mailing Address
First Line : 8231 WESTMINSTER BLVD
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3364
Country : US
Telephone Number : 714-328-2344
Fax Number :
Provider Business Practice Location Address
First Line : 200 UCLA MEDICAL PLZ STE 460
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-2004
Country : US
Telephone Number : 310-825-5510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 04/23/2026

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Directions to “ NICHOLAS THU KHOA DO ” Practice Location

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