Provider Demographics
NPI:1316677610
Name:NICOLINI, ADRIANA (LICENSED ACUPUNCTURE)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:NICOLINI
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6090 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5568
Mailing Address - Country:US
Mailing Address - Phone:714-377-0078
Mailing Address - Fax:
Practice Address - Street 1:6090 WARNER AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-5568
Practice Address - Country:US
Practice Address - Phone:714-377-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18764171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist