Provider Demographics
NPI:1033747035
Name:HEMPHILL, NAMIYO (LE CPE)
Entity Type:Individual
Prefix:MRS
First Name:NAMIYO
Middle Name:
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:LE CPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4482 BARRANCA PKWY STE 180
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4706
Mailing Address - Country:US
Mailing Address - Phone:949-235-7721
Mailing Address - Fax:949-502-5050
Practice Address - Street 1:4482 BARRANCA PKWY STE 180
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4706
Practice Address - Country:US
Practice Address - Phone:949-235-7721
Practice Address - Fax:949-502-5050
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL8510247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty