Healthcare Provider Details

I. General information

NPI: 1962457440
Provider Name (Legal Business Name): BARBARA NOGUCHI, M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 VETERANS BLVD SUITE 203
METAIRIE LA
70002
US

IV. Provider business mailing address

3900 VETERANS BLVD SUITE 203
METAIRIE LA
70002
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-6523
  • Fax: 504-887-9098
Mailing address:
  • Phone: 504-455-6523
  • Fax: 504-887-9098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number021479
License Number StateLA

VIII. Authorized Official

Name: DR. BARBARA A NOGUCHI
Title or Position: OWNER
Credential: M.D.
Phone: 504-455-1816