Organization Name: | NISSAN PILEST, MD INC |
NPI Number: | 1851580625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANICA TRAN (BUSINESS MANAGER) |
Mailing Address: | 16100 Sand Canyon Ave Ste 190 Irvine |
State: | CA US |
Postal Code: | 926183723 |
Phone Number: | 9497273800 |
Fax Number: | 9497273888 |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |