Provider Demographics
NPI:1295928042
Name:TROY H. NIGUIDULA, M. D., INC.
Entity type:Organization
Organization Name:TROY H. NIGUIDULA, M. D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:HUVILLA
Authorized Official - Last Name:NIGUIDULA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:619-267-8181
Mailing Address - Street 1:610 EUCLID AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2952
Mailing Address - Country:US
Mailing Address - Phone:619-267-8181
Mailing Address - Fax:619-479-6750
Practice Address - Street 1:610 EUCLID AVE STE 201
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2952
Practice Address - Country:US
Practice Address - Phone:619-267-8181
Practice Address - Fax:619-479-6750
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TROY H. NIGUIDULA, M. D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-24
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92543282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI47403Medicare UPIN