Supiyati, Ni Ketut
Supiyati, Ni Ketut is an sole proprietor health care provider with primary practice located at 2638 E Florence Ave , Huntington Park CA 90255-4708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Supiyati, Ni Ketut can be contacted via phone (323) 581-4665.Contact Information
Primary practice address
2638 E Florence Ave
Huntington Park CA 90255-4708
Phone: (323) 581-4665
Fax: (323) 581-0551
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP95001498 | California |
Profile Details
NPI number | 1023497443 |
---|---|
LBN Legal business name | Supiyati, Ni Ketut |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2015 |
Last updated | May 19th, 2015 - about 9 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 | 1023497443 | NPPES |
California | MEDICAID | 95001498 |
Popular Providers
-
Whitford, Marguerite Elizabeth
8041 Newman Ave , Huntington Beach CA 92647-7034 -
Nguyen, Chi Hong
8201 Newman Ave 101 , Huntington CA 92647 -
Burgos, Glenda Mulet
Rita Medical Clinic 7126 Pacific Boulevard, Huntington Park CA 90255 -
Santero, Jennifer Caceres
19121 Beach Blvd , Huntington Beach CA 92648 -
Lomeli, Veronica
6601 Rugby Ave , Huntington Park CA 90255-4040 -
Santis, Claudia Raquel
3400 E Florence Ave Ste B , Huntington Park CA 90255-5835 -
Sanchez Neri, Roberto Ivan
6021 Pacific Blvd Ste 103 , Huntington Park CA 90255-2953 -
Swaby, Shakeela
2680 Saturn Ave , Huntington Park CA 90255-4377