Search › California › 207WX0107X
Nicole Koulisis, MD
NPI 1073033213 · on the registry since 2017
Practice
- Address
- 5400 Balboa Blvd Ste 126
Encino, CA 91316 - Phone
- (818) 578-0004
- Fax
- (818) 578-0002
- Organisation at this address
- Enera5
Childspeak Inc.
Blueberry Medical
Retina Los Angeles
Giara Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Additional practice sites
- 1450 San Pablo St Ste 400, Los Angeles, CA
Registry record
- Primary taxonomy
- 207WX0107X
207WX0107X
- Also registered as
- 207W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California