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David Allen Noya

Family Medicine

Allopathic & Osteopathic Physicians

4425 S Central Ave, Los Angeles, CA 90011-3629

PECOS Enrollment

This provider is enrolled in PECOS as DAVID NOYA.

Based on the most recent information from CMS, provider David Allen Noya is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1689721284
Provider Type
Individual
Full Name
Noya, David Allen
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/4/2007
Last Updated
1/13/2011

Contact Information

Practice Location

4425 S Central Ave, Los Angeles, CA 90011-3629

(323) 908-4274

(323) 908-4262

Mailing Location

4425 S Central Ave, Los Angeles, CA 90011-3629

(323) 908-4274

(323) 908-4262

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A89297 California

David Allen Noya

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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