IVAN NICHOLS

ST JOSEPH HERITAGE HEALTHCARE

Dr IVAN NICHOLS is a male medical professional, specializing in Family Medicine. He graduated in 1972 from University Of Utah School Of Medicine.

Contact

ST JOSEPH HERITAGE HEALTHCARE

2212 E 4TH ST
SANTA ANA
CA
927053811

Tel: 7146331011

IVAN NICHOLS Information

Npi 1609965417
Pac Id 0042346330
Professional Enrollment Id I20100325000624
Last Name NICHOLS
First Name IVAN
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1972
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST JOSEPH HERITAGE HEALTHCARE
Group Practice Pac Id 8921993205
Number Of Group Practice Members 1091
Line 1 Street Address 2212 E 4TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SANTA ANA
State CA
Zip Code 927053811
Phone Number 7146331011
Hospital Affiliation Ccn 1 050069
Hospital Affiliation Lbn 1 ST JOSEPH HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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