Search › California › 104100000X
Nicole Small
NPI 1942867536 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1328 2nd St
Santa Monica, CA 90401 - Phone
- (310) 394-6889
- Organisation at this address
- Step Up On Second
Step Up On Second
Step Up On Second
Step Up On Second
Step Up On Second Street, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 141
Additional practice sites
- 333 S Beaudry Ave, Los Angeles, CA
- 1260 Morena Blvd Ste 100, San Diego, CA
- 1260 Morena Blvd Ste 100, San Diego, CA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
101YM0800X
390200000X
171M00000X - Licence states on file
- NULL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-31
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