| Doctor Name: | DR. NIZA PENA UY-UYAN |
| NPI Number: | 1710933254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | H065141 |
| Business Practice Address: | 11401 Bloomfield Ave Norwalk, CA - 906502015 |
| Business Phone Number: | 5628637011 |
| Business Fax Number: | 5628644560 |
| Mailing Address: | 11401 South Bloomfield Ave, NORWALK |
| State: | CA |
| Postal Code: | 90650 |
| Phone Number: | 5626513182 |
| Fax Number: | 9166543186 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 02/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H065141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |