Ni Ketut Supiyati

NPI 1023497443 · on the registry since 2015 · sole proprietor

Practice

Address: 2638 E Florence Ave
Huntington Park, CA 90255
Phone: (323) 581-4665
Fax: (323) 581-0551
Organisation at this address: San Miguel Urgent Care
Sepehr Katiraie Md Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California