Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | C37160 | CA |
NPI | 1366444101 |
---|---|
Provider Name | Dr. Alan C Noel SR. |
First Address | Los Angeles, CA 90045-3808 |
Second Address | Los Angeles, CA 90045-3807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 28/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C371600 | (05) | CA |
A87909 | (02) | CA |