Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A95186 | CA |
Y | 207RN0300X | Nephrologist | A95186 | CA |
NPI | 1629205745 |
---|---|
Provider Name | Neda Bell Poommipanit |
First Address | Los Angeles, CA 90066-1641 |
Second Address | Panorama City, CA 91402-5423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 22/11/2021 |