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Dr. Pane Aksone Nouvong, DPM
Foot Surgery Podiatrist in Los Angeles, California
NPI 1144326729

Pane Aksone Nouvong is a Foot Surgery Podiatrist based in Los Angeles, CA and is specialized in Foot Surgery. Pane Aksone Nouvong practices in Los Angeles, CA and has the professional credentials of DPM. The NPI Number for Pane Aksone Nouvong is 1144326729 and holds a License No. E4265 (California).

The current practice location address for Pane Aksone Nouvong is 200 Medical Plaza Suite 526, Los Angeles, CA and can be reached out via phone at 310-267-0172 and via fax at 310-725-4037.

Location: 200 Medical Plaza Suite 526, Los Angeles, CA, 90045-5631
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Provider Profile Details
NPI Number
1144326729
Provider Name
Pane Aksone Nouvong
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
200 Medical Plaza Suite 526, Los Angeles, CA, 90045-5631
Phone Number
310-267-0172
Fax Number
310-725-4037
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E4265 01 CA CA DPM LIC
institution
Provider Business Practice Location Address Details
Address
200 Medical Plaza Suite 526
City
State
Zip
90095-2007
Phone Number
310-267-0172
Fax Number
310-725-4037
person
Provider Business Mailing Address Details
Address
200 Medical Plaza Suite 526
City
State
Zip
90095-2007
Phone Number
310-267-0172
Fax Number
310-725-4037
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4265 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E4265 (California)
Definition
Definition to come...
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