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Search › California › 390200000X

Nicolas Vardiabasis, D.O

NPI 1164785713 · on the registry since 2012 · sole proprietor

Practice

Address
26520 Cactus Ave
Moreno Valley, CA 92555
Phone
(951) 486-4698
Organisation at this address
Taqi'S Inc.
County Of Riverside
County Of Riverside
County Of Riverisde
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
687

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
207X00000X
Licence states on file
NULL, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-18
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California