Nieberg, Kenneth C
Nieberg, Kenneth C is an individual health care provider with primary practice located at 235 N Hoover St , Los Angeles CA 90004-3627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Nieberg, Kenneth C can be contacted via phone (213) 382-7252.Contact Information
Primary practice address
235 N Hoover St
Los Angeles CA 90004-3627
Phone: (213) 382-7252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | G8386 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G8386 | California |
Profile Details
| NPI number | 1144281320 |
|---|---|
| LBN Legal business name | Nieberg, Kenneth C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jun 1st, 2010 - about 14 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 | 1144281320 | NPPES |
| California | MEDICAID | 000G83860 |
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