| NPI Details | |
|---|---|
| NPI | 1134227598 |
| Gender | Male |
| Enumeration Date | 09/20/2006 |
| Last Updated | 04/02/2013 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 9201 W SUNSET BLVD M120 WEST HOLLYWOOD CA, 90069-3701, US |
|
| Phone | (310) 246-1050 |
| Fax | |
| Business Location | |
|---|---|
| 9201 W SUNSET BLVD M120 WEST HOLLYWOOD CA, 90069-3701, US |
|
| Phone | (310) 246-1050 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208100000X |
| License State | California |
| License Number | PT28753 |
| Remove 1134227598 NPI Number | |
According to our database, Ian Anthony Novotny D.P.T. NPI is 1134227598, taxonomy code is 208100000X and license number is PT28753, license state is located at California. Ian Anthony Novotny D.P.T. physically located at 9201 W Sunset Blvd, West Hollywood CA, 90069-3701. NPI Number Ian Anthony Novotny D.P.T. has the Individual type.
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1134227598 NPI number is provided on an as is basis without warranty of any kind. 1134227598 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Anthony Novotny D.P.T. are for informational purposes only.
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