Individual provider · Type 1 NPI

Lida Bao, N.P.

Gerontology Nurse Practitioner · Los Angeles, CA

NPI number 1629130372 Active

Practice location

11301 Wilshire Blvd, Building 500
Los Angeles, CA 90073-1003

Call (310) 478-3711 Map

Mailing address

1521 S 8th St
Alhambra, CA 91803-3241

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X13681 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1629130372

Lida Bao, N.P.'s National Provider Identifier is 1629130372, issued on Dec 15, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 20, 2007.