| Nikolas Evan Marino, MD, MBA | |
|
9300 Campus Point Dr, La Jolla, CA 92037-1300 | |
| (800) 926-8273 | |
| Not Available |
| Full Name | Nikolas Evan Marino |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 9300 Campus Point Dr, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316523988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A184624 (California) | Secondary |
| 208M00000X | Hospitalist | A184624 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376646869 PECOS PAC ID: 3577476761 Enrollment ID: O20031112000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikolas Evan Marino, MD, MBA File 57326, Los Angeles, CA 90074-0001 Ph: () - | Nikolas Evan Marino, MD, MBA 9300 Campus Point Dr, La Jolla, CA 92037-1300 Ph: (800) 926-8273 |
Noor Qaddour, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Dr. Laura J. Nicholson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-455-9100 Fax: 858-784-5933 | |
Ashkan Hayatdavoudi, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Darius Leung, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N. Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-3200 | |
Ola Jandali, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Dr. Kimberly D Koppenbrink, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, Suite # 206, La Jolla, CA 92037 Phone: 858-455-9100 | |
Dr. Dan E. Dworsky, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-8374 Fax: 858-784-5933 |