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Search › California › 175T00000X

Christofer Nicodemus

NPI 1417746355 · on the registry since 2025

Practice

Address
2085 Rustin Ave Ste 1
Riverside, CA 92507
Phone
(951) 955-7320
Organisation at this address
County Of Riverside
County Of Riverside
County Of Riverside
County Of Riverside
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
373

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-09

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