Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | A62911 | CA |
NPI | 1083626212 |
---|---|
Provider Name | Dr. Elizabeth Y Nghiem |
First Address | Fountain Valley, CA 92708-4008 |
Second Address | Fountain Valley, CA 92708-4008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A629110 | (05) | CA |
H52051 | (02) | CA |