Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | A103894 | CA |
Y | 2084N0400X | Neurologist | A103894 | CA |
NPI | 1104928209 |
---|---|
Provider Name | Alex C Nee |
First Address | Sacramento, CA 95819 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 17/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A1038940 | (05) | CA |