Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 5801 | CA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 353263 | CA |
NPI | 1013068733 |
---|---|
Provider Name | Ming Fok Looi |
First Address | Gold River, CA 95670-7768 |
Second Address | West Sacramento, CA 95605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |