Healthcare Provider Details

I. General information

NPI: 1760703466
Provider Name (Legal Business Name): NYOTA MAY PIEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 MARYLAND AVE NE
WASHINGTON DC
20002-7604
US

IV. Provider business mailing address

12900 PARK PLAZA DR STE 150
CERRITOS CA
90703-9329
US

V. Phone/Fax

Practice location:
  • Phone: 202-396-1780
  • Fax:
Mailing address:
  • Phone: 562-622-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number274028-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberMD044460
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: