Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A150814 | CA |
Y | 111NI0900X | Internist | A150814 | CA |
N | 207RC0200X | Critical Care Medicine | A150814 | CA |
N | 207RP1001X | Pulmonary Disease | A150814 | CA |
N | 207RS0012X | Sleep Medicine | A150814 | CA |
NPI | 1063874667 |
---|---|
Provider Name | Dr. Roberto Leonardo Mempin |
First Address | Fremont, CA 94539-4525 |
Second Address | Los Angeles, CA 90095-8358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2016 |
Last Update Date | 17/09/2020 |