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NPI Code Detail

MEDICARE: SIMONE COX RNNP

MEDICARE:   SIMONE  COX  RNNP
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
1363LW0102XWomen's Health Nurse Practitioner461910CA

General Provider Information

NPI Number : 1427030386
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE COX RNNP
Provider Business Mailing Address
First Line : 832 W CHANNEL ST
Second Line :
City : SAN PEDRO
State : CA
Zip : 90731-1414
Country : US
Telephone Number : 310-521-0470
Fax Number :
Provider Business Practice Location Address
First Line : 400 W 30TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3320
Country : US
Telephone Number : 213-284-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 01/13/2014

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