Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 390200000 | CA |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A141326 | CA |
NPI | 1073923710 |
---|---|
Provider Name | Nina Wanning Zhao |
First Address | Sacramento, CA 95817-2207 |
Second Address | Sacramento, CA 95817-2207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2014 |
Last Update Date | 06/07/2021 |