| Nicole Lynn Vergara, | |
|
2232 Via Acalones, Palos Verdes Estates, CA 90274-1647 | |
| (310) 809-8352 | |
| Not Available |
| Full Name | Nicole Lynn Vergara |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2232 Via Acalones, Palos Verdes Estates, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417354309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 17418 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lynn Vergara, 2232 Via Acalones, Palos Verdes Estates, CA 90274-1647 Ph: () - | Nicole Lynn Vergara, 2232 Via Acalones, Palos Verdes Estates, CA 90274-1647 Ph: (310) 809-8352 |
Kristine Kivuls, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 520 Paseo Del Mar, Palos Verdes Estates, CA 90274 Phone: 310-872-8637 | |
Ms. Jo-ann Portanova, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 604 Epping Rd, Palos Verdes Estates, CA 90274 Phone: 310-373-3834 Fax: 310-373-3834 |