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NPI Code Detail

MEDICARE: MONTSERRAT NOBOA

MEDICARE: MONTSERRAT NOBOA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered Nurse95212777CA

General Provider Information

NPI Number : 1699305433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTSERRAT NOBOA
Provider Business Mailing Address
First Line : 5530 OVERLAND AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1260
Country : US
Telephone Number : 858-636-3555
Fax Number :
Provider Business Practice Location Address
First Line : 5530 OVERLAND AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1260
Country : US
Telephone Number : 858-636-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2020
Last Update Date : 01/21/2020

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Directions to “ MONTSERRAT NOBOA ” Practice Location

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