Basic Information
Provider Information
NPI: 1417053026
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAI
FirstName: AIPING
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 LA SENDA DR
Address2:  
City: FULLERTON
State: CA
PostalCode: 928351414
CountryCode: US
TelephoneNumber: 7149921821
FaxNumber:  
Practice Location
Address1: 1310 W STEWART DR STE 610
Address2:  
City: ORANGE
State: CA
PostalCode: 928683857
CountryCode: US
TelephoneNumber: 7149974300
FaxNumber: 7149975759
Other Information
ProviderEnumerationDate: 09/15/2006
LastUpdateDate: 02/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X487537CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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