Healthcare Provider Details

I. General information

NPI: 1174427272
Provider Name (Legal Business Name): ANTHONY NOUN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 PARK AVE APT E
LONG BEACH CA
90815-3838
US

IV. Provider business mailing address

1720 PARK AVE APT E
LONG BEACH CA
90815-3838
US

V. Phone/Fax

Practice location:
  • Phone: 562-279-5321
  • Fax:
Mailing address:
  • Phone: 562-279-5321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number40151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: