IndividualActive
Dexter Canoy
NPI 1104789809 · Otorhinolaryngology & Head-Neck Registered Nurse · Los Angeles, CA
Provider details
- NPI number
- 1104789809
- Entity type
- Individual
- Primary specialty
- Otorhinolaryngology & Head-Neck Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95292177 (CA)
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Mailing address
1636 Cherry Tree Pl
Upland, CA 91784-2530
Registry dates
- Enumerated
- 2025-12-09
- Last updated
- 2025-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.