Provider Demographics
NPI:1154734069
Name:ALMANI, NOEL (PA-C)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:ALMANI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 W TEMPLE ST STE 4691
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-7336
Mailing Address - Country:US
Mailing Address - Phone:213-238-5887
Mailing Address - Fax:213-444-7212
Practice Address - Street 1:1711 W TEMPLE ST STE 4691
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-7336
Practice Address - Country:US
Practice Address - Phone:213-238-5887
Practice Address - Fax:213-444-7212
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY363AM0700X
NY017573363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04041223Medicaid