Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301087555 | MI |
N | 208600000X | Surgeon | 4301087555 | MI |
N | 208200000X | Surgeon | A75671 | CA |
N | 208600000X | Surgeon | A75671 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 4301087555 | MI |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A175671 | CA |
NPI | 1093932261 |
---|---|
Provider Name | Dr. Ming-Sing Si |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90024-6997 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 02/09/2021 |