Provider Demographics
NPI:1851872261
Name:NYX HEALTH OF CALIFORNIA LLC
Entity Type:Organization
Organization Name:NYX HEALTH OF CALIFORNIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KORZELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-503-4590
Mailing Address - Street 1:8440 HOLCOMB BRIDGE RD STE 560
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1838
Mailing Address - Country:US
Mailing Address - Phone:678-367-4323
Mailing Address - Fax:678-367-4323
Practice Address - Street 1:555 E HARDY ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4011
Practice Address - Country:US
Practice Address - Phone:678-503-4590
Practice Address - Fax:678-367-4323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty