Provider Demographics
NPI:1538600895
Name:GIEHL, NOLAN MICHAEL (MD)
Entity type:Individual
Prefix:MR
First Name:NOLAN
Middle Name:MICHAEL
Last Name:GIEHL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:WOODLAND HILLS MEDICAL CENTER
Mailing Address - Street 2:5601 DE SOTO AVE
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:818-719-2480
Mailing Address - Fax:818-719-2477
Practice Address - Street 1:KAISER PERMANENTE WOODLAND HILLS MEDICAL CENTER
Practice Address - Street 2:5601 DE SOTO AVE
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367
Practice Address - Country:US
Practice Address - Phone:818-719-2480
Practice Address - Fax:818-719-2477
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-19
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA157538207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program