Individual ProviderNicole HindsPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033(323) 226-2622PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Hinds is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1558065672Provider TypeIndividualFull NameHinds, NicoleTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/30/2023Last Updated4/26/2025Contact InformationPractice LocationPractice Address1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033Phone(323) 226-2622FaxUnlisted FaxMailing LocationMailing Address1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA197353CaliforniaCode174400000XDescriptionSpecialistOther Service ProvidersLicenseA197353CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer