LIDA BAO N.P. NPI 1629130372

NPI Information

NPI: 1629130372
Provider Name: LIDA BAO, N.P.
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
11301 WILSHIRE BLVD
BUILDING 500
LOS ANGELES, CA
ZIP 90073
Phone: (310) 478-3711
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Lida Bao, N.P. is a gerontology nurse practitioner in Los Angeles, CA. Lida Bao, N.P. NPI is 1629130372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11301 WILSHIRE BLVD
BUILDING 500
LOS ANGELES, CA
ZIP 90073-003
Phone: (310) 478-3711

The NPI 1629130372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	13681	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	559675	OTHER	CALIFORNIA	REGISTERED NURSE LICENSE
2	13681	OTHER	CALIFORNIA	NP FURNISHING NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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