MEDICARE: NOCOPAY INC

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
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1730830449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOCOPAY INC

Provider Business Mailing Address
First Line	:	2618 SAN MIGUEL DR STE 1089
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-5437
Country	:	US
Telephone Number	:	516-425-6434
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 AUVERGNE
Second Line	:
City	:	NEWPORT COAST
State	:	CA
Zip	:	92657-1090
Country	:	US
Telephone Number	:	323-868-2002
Fax Number	:

Authorized Official
Title or Position	:	IT MANAGER
Name	:	EVAN LUWISCH
Credential	:
Telephone Number	:	516-425-6434

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	01/13/2022

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Directions to “NOCOPAY INC ” Practice Location

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