Provider Demographics
NPI:1245452937
Name:NICOLAE, SILVIA (MD)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:NICOLAE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 CAMINO DE LOS MARES
Mailing Address - Street 2:STE 103
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-2834
Mailing Address - Country:US
Mailing Address - Phone:949-248-1900
Mailing Address - Fax:
Practice Address - Street 1:629 CAMINO DE LOS MARES
Practice Address - Street 2:STE 103
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-2834
Practice Address - Country:US
Practice Address - Phone:949-248-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87357207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology