Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A44629 | CA |
NPI | 1073549838 |
---|---|
Provider Name | Christiaan Schiepers |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-7370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A446290 | (05) | CA |
H12413 | (02) |