Dr. Theodore Scott Nowicki

M.D., PH.D. | Pediatric Hematology-Oncology | Male

---

Complete Profile:

Dr. Theodore Scott Nowicki basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Dr. Theodore Scott Nowicki
Credential :	M.D., PH.D.
Gender :	Male

Business Address:

Dr. Theodore Scott Nowicki address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	200 Ucla Medical Plz Ste 265 Los Angeles, CA, 90095 United States
Phone Number :	310-825-0867
Fax Number :	310-206-4855

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1730522194
NPI Entity Type :	Individual
First Enrolment Date :	16 Apr, 2013
Last Updated On :	18 Nov, 2019

Medicare Participation:

Dr. Theodore Scott Nowicki participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3678828621
Medicare Enrollment ID :	I20190919003232
Primary Specialty :	Pediatric Medicine
Medical School :	New York Medical College
Graduation Year :	2013
Accepts Medicare?	Yes. Dr. Theodore Scott Nowicki accepts medicare insurance.

Group Practice Association:

Dr. Theodore Scott Nowicki is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Theodore Scott Nowicki is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Uc Regents	4587568829	73	200 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	300 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	10833 Leconte Ave Los Angeles, CA - 900953075 Ph: 3108259124	Yes
Uc Regents	4587568829	73	10833 Le Conte Ave Los Angeles, CA - 900953075	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theodore Scott Nowicki are as mentioned. Primary taxonomy code for Dr. Theodore Scott Nowicki, M.D., PH.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	A133344	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
757 WESTWOOD PLZ, LOS ANGELES, CA, 90095-7419 United States	LOS ANGELES, CA	310-267-9129

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5767 W Century Blvd Ste 400 Los Angeles, CA, 90045-5631 United States

Business Location:

Patients can refer following map for directions to Dr. Theodore Scott Nowicki practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.