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NPI Code Detail

MEDICARE: NOTOYA SCOTT NP-C

MEDICARE: NOTOYA SCOTT NP-C
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
1363LF0000XFamily Nurse PractitionerRN195165GA

General Provider Information

NPI Number : 1033654363
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOTOYA SCOTT NP-C
Provider Business Mailing Address
First Line : 6255 W SUNSET BLVD FL 21
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7422
Country : US
Telephone Number : 323-860-5200
Fax Number : 323-467-7119
Provider Business Practice Location Address
First Line : 1075 LAFAYETTE PKWY STE 100
Second Line :
City : LAGRANGE
State : GA
Zip : 30241-3507
Country : US
Telephone Number : 706-443-5273
Fax Number : 762-323-1014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2016
Last Update Date : 05/07/2024

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Directions to “ NOTOYA SCOTT NP-C” Practice Location

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