Provider Demographics
NPI:1902929300
Name:CAIRNS, NIGEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NIGEL
Middle Name:
Last Name:CAIRNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NORTHSTAR ST
Mailing Address - Street 2:#305
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-6781
Mailing Address - Country:US
Mailing Address - Phone:310-578-8141
Mailing Address - Fax:
Practice Address - Street 1:1314 N HAYWORTH AVE
Practice Address - Street 2:301
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-4658
Practice Address - Country:US
Practice Address - Phone:323-874-9321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78536208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice