DR CARL V NICHOLSON INC
Managed Care Organizations at Colorado Blvd, Pasadena, CA

License number
California OPT10650
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. CARL VINCENT NICHOLSON SR. OD
Title: OWNER/DOCTOR
Phone: (626) 795-3453
Address
Address
709 E Colorado Blvd SUITE 101, Pasadena, CA 91101
National Provider ID: 1144555418
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. CARL V. NICHOLSON, INC.

709 E Colorado Blvd STE 101, Pasadena, CA 91101

Industry:
Medical Practice
Registration:
Aug 13, 2008
State ID:
03130654
Business type:
Articles of Incorporation
President:
Carl V. Nicholson (President)
Agent:
Eugene S. Alkana

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