Physician Compare National (NPI:1477554905)

HEALTHCARE PROVIDER: ZETAN NIE M.D., PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477554905
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608939202
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130710000895
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NIE
	Individual professional last name
Provider First Name	ZETAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7422 GARVEY AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 101
	Group Practice or individual's line 2 address
City	ROSEMEAD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917702974
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6262886888
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050737
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GARFIELD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050132
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAN GABRIEL VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050281
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ALHAMBRA HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y