Provider Demographics
NPI:1629205745
Name:POOMMIPANIT, NEDA BELL (MD)
Entity Type:Individual
Prefix:
First Name:NEDA
Middle Name:BELL
Last Name:POOMMIPANIT
Suffix:
Gender:F
Credentials:MD
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3201 SAWTELLE BLVD
Mailing Address - Street 2:APT 324
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1641
Mailing Address - Country:US
Mailing Address - Phone:310-966-0540
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:310-966-0540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA95186204F00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACF084ZMedicare PIN