Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | G51585 | CA |
NPI | 1467506873 |
---|---|
Provider Name | Nelman C. Low |
First Address | Gardena, CA 90247-4867 |
Second Address | Torrance, CA 90503-4352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 16/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A93086 | (02) |