Individual
CATHI LEE NANNINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4727 WILSHIRE BLVD, STE 100, LOS ANGELES, CA 90010
(323) 938-2942
(323) 938-8952
Mailing address
4727 WILSHIRE BLVD, STE 100, LOS ANGELES, CA 90010
(323) 938-2942
(323) 938-8952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G045964
CA
208M00000X
Hospitalist Physician
Primary
G045964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G0459640
—
CA
Enumeration date
10/17/2005
Last updated
11/01/2017
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