Individual provider · Type 1 NPI
Dexter Canoy
Otorhinolaryngology & Head-Neck Registered Nurse · Los Angeles, CA
NPI number
1104789809
Active
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Mailing address
1636 Cherry Tree Pl
Upland, CA 91784-2530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 95292177 (CA) |
| Medical-Surgical Registered Nurse | 163WM0705X | 95292177 (CA) |
| Otorhinolaryngology & Head-Neck Registered Nurse Primary | 163WX0601X | 95292177 (CA) |
| Registered Nurse | 163W00000X | 95292177 (CA) |
Otorhinolaryngology & Head-Neck Registered Nurse: Definition to come...
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About NPI 1104789809
Dexter Canoy's National Provider Identifier is 1104789809, issued on Dec 9, 2025. The primary taxonomy on file is Otorhinolaryngology & Head-Neck Registered Nurse (163WX0601X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 9, 2025.