Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A148896 | CA |
N | 111NI0900X | Internist | A148896 | CA |
Y | 207RG0300X | Geriatric Medicine | A148896 | CA |
NPI | 1104208404 |
---|---|
Provider Name | Dr. Pingting Nie |
First Address | Los Angeles, CA 90012-2185 |
Second Address | Los Angeles, CA 90012-2185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2015 |
Last Update Date | 22/08/2019 |