Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 32176 | CA |
NPI | 1164767265 |
---|---|
Provider Name | Dr. Joowhye Nam |
First Address | Beverly Hills, CA 90211-3328 |
Second Address | Beverly Hills, CA 90211-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2012 |
Last Update Date | 09/06/2016 |