Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A108390 | CA |
N | 207R00000X | Internist | A108390 | CA |
N | 111NI0900X | Internist | A108390 | CA |
Y | 207RA0401X | Internist - Addiction Medicine | A108390 | CA |
NPI | 1699906750 |
---|---|
Provider Name | Dr. Courtney S. Scott |
First Address | Inglewood, CA 90301-1412 |
Second Address | Inglewood, CA 90301-1412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 23/04/2020 |