Provider Demographics
NPI:1952475691
Name:YOSHPE, NINA S (MD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:S
Last Name:YOSHPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 E WARDLOW RD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4507
Mailing Address - Country:US
Mailing Address - Phone:562-427-0550
Mailing Address - Fax:562-988-8899
Practice Address - Street 1:433 E WARDLOW RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4507
Practice Address - Country:US
Practice Address - Phone:562-427-0550
Practice Address - Fax:562-988-8899
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG43916207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E02655Medicare UPIN