Provider Demographics
NPI:1417053026
Name:DAI, AIPING (NP)
Entity Type:Individual
Prefix:MRS
First Name:AIPING
Middle Name:
Last Name:DAI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LA SENDA DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1414
Mailing Address - Country:US
Mailing Address - Phone:714-992-1821
Mailing Address - Fax:
Practice Address - Street 1:1310 W STEWART DR STE 610
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3857
Practice Address - Country:US
Practice Address - Phone:714-997-4300
Practice Address - Fax:714-997-5759
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2016-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487537363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner