MEDICARE: WILLIAM H NOH DDS, MD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	104917	CA

General Provider Information

NPI Number	:	1952663080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM H NOH DDS, MD

Provider Business Mailing Address
First Line	:	3640 WILSHIRE BLVD APT 236
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2644
Country	:	US
Telephone Number	:	714-356-3522
Fax Number	:

Provider Business Practice Location Address
First Line	:	3640 WILSHIRE BLVD APT 236
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2644
Country	:	US
Telephone Number	:	714-356-3522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2012
Last Update Date	:	06/12/2020

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