Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A154500 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | A154500 | CA |
N | 2080P0205X | Pediatric Endocrinologist | ML 60587536 | WA |
NPI | 1346611514 |
---|---|
Provider Name | Siu Ying Nip |
First Address | Oakland, CA 94609-1809 |
Second Address | Oakland, CA 94609-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2015 |
Last Update Date | 16/09/2021 |