Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A152607 | CA |
NPI | 1013371343 |
---|---|
Provider Name | Catherine Shey-Hwa Ni |
First Address | Encino, CA 91436-2248 |
Second Address | Encino, CA 91436-2248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 03/11/2021 |