Bao, Lida
Bao, Lida is an individual health care provider with primary practice located at 11301 Wilshire Blvd Building 500, Los Angeles CA 90073-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bao, Lida can be contacted via phone (310) 478-3711.Contact Information
Primary practice address
11301 Wilshire Blvd Building 500
Los Angeles CA 90073-1003
Phone: (310) 478-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 13681 | California |
Profile Details
| NPI number | 1629130372 |
|---|---|
| LBN Legal business name | Bao, Lida |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Aug 20th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629130372 | NPPES |
| California | Other | 13681 | NP FURNISHING NUMBER |
| California | Other | 559675 | NP FURNISHING NUMBER |
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