Dexter Canoy
Registered Nurse, Otorhinolaryngology & Head-Neck in Los Angeles, CA. Individual provider (NPI-1).
NPI number1104789809
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1104789809
- Entity type
- Individual (NPI-1)
- Name
- Dexter Canoy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2025
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WX0601X | Registered Nurse, Otorhinolaryngology & Head-Neck | 95292177 | CA | Yes |
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | 95292177 | CA | |
| 163WM0705X | Registered Nurse, Medical-Surgical | 95292177 | CA | |
| 163W00000X | Registered Nurse | 95292177 | CA |
Practice location
11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone 310-478-3711
Mailing address
1636 Cherry Tree PlUpland, CA 91784-2530
Phone 626-510-3301
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