1053378232 NPI number — DR. NINON VICTORIA ARGOUD D.O.

Table of content: DR. NINON VICTORIA ARGOUD D.O. (NPI 1053378232)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053378232 NPI number — DR. NINON VICTORIA ARGOUD D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARGOUD
Provider First Name:
NINON
Provider Middle Name:
VICTORIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORRISON
Provider Other First Name:
NINON
Provider Other Middle Name:
ARGOUD
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.O.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1053378232
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7731 FOREST DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FISH CAMP
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93623
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-347-5297
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7731 FOREST DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FISH CAMP
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-347-5297
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  A-1289-04 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 20A7132 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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