Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A147568 | CA |
N | 111NI0900X | Internist | A147568 | CA |
N | 207RC0200X | Critical Care Medicine | A147568 | CA |
Y | 207RP1001X | Pulmonary Disease | A147568 | CA |
NPI | 1093006116 |
---|---|
Provider Name | Dr. Tao He |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Santa Monica, CA 90404-1279 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2011 |
Last Update Date | 29/08/2019 |