Healthcare Provider Details

I. General information

NPI: 1568902500
Provider Name (Legal Business Name): LOUISE ESTHER NOCAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LOUISE NOCAS RITCHIE M.D.

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 S HILL AVE
PASADENA CA
91106-4110
US

IV. Provider business mailing address

619 S HILL AVE
PASADENA CA
91106-4110
US

V. Phone/Fax

Practice location:
  • Phone: 626-773-6761
  • Fax:
Mailing address:
  • Phone: 626-773-6761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberG12263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: