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NPI Code Detail

MEDICARE: NICHOLAS HERZIK

MEDICARE: NICHOLAS HERZIK
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
1207P00000XEmergency Medicine Physician189910CA

General Provider Information

NPI Number : 1740921931
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS HERZIK
Provider Business Mailing Address
First Line : 1200 N STATE STREET
Second Line : CLINIC TOWER, SUITE A7D
City : LOS ANGELES
State : CA
Zip : 90033-1029
Country : US
Telephone Number : 310-941-3438
Fax Number :
Provider Business Practice Location Address
First Line : 2051 MARENGO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1352
Country : US
Telephone Number : 323-409-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 02/09/2026

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Directions to “ NICHOLAS HERZIK ” Practice Location

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