Nanninga, Cathi Lee

Nanninga, Cathi Lee is an individual health care provider with primary practice located at 4727 Wilshire Blvd Ste 100, Los Angeles CA 90010. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Nanninga, Cathi Lee can be contacted via phone (323) 938-2942.

Contact Information

Primary practice address
4727 Wilshire Blvd Ste 100 Los Angeles CA 90010
Fax: (323) 938-8952
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G045964 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G045964 California

Profile Details

NPI number 1497744023
LBN Legal business name Nanninga, Cathi Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Nov 1st, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497744023 NPPES
California MEDICAID 00G0459640

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