Nicolas Louis Bob, is a
Student In An Organized Health Care Education/training Program based in Pasadena, California. Nicolas Louis Bob is licensed to practice in * (Not Available) (license number ) and his current practice location is
447 N El Molino Ave, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 577-8480.
NPI number for Nicolas Louis Bob is 1225697915 and his current mailing address is 447 N El Molino Ave, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225697915.
Healthcare Provider's Profile
| Full Name | Nicolas Louis Bob |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 447 N El Molino Ave, Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225697915
- Provider Enumeration Date: 06/06/2019
- Last Update Date: 07/28/2023
Medical Identifiers
Medical identifiers for Nicolas Louis Bob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225697915 | NPI | - | NPPES |
| 8121 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolas Louis Bob is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicolas Louis Bob,
447 N El Molino Ave,
Pasadena, CA 91101-1403
Ph: (626) 577-8480 | Nicolas Louis Bob,
447 N El Molino Ave,
Pasadena, CA 91101-1403
Ph: (626) 577-8480 |
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