Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 95011569 | CA |
Y | 363L00000X | Nurse Practitioner | 95011569 | CA |
NPI | 1407416837 |
---|---|
Provider Name | Lakpa L Sherpa |
First Address | Redondo Beach, CA 90278-3666 |
Second Address | Long Beach, CA 90807-2007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2019 |
Last Update Date | 08/07/2021 |