DR. PANE AKSONE NOUVONG DPM NPI 1144326729

NPI Information

  • NPI: 1144326729
  • Provider Name: DR. PANE AKSONE NOUVONG, DPM
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 MEDICAL PLAZA SUITE 526
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 267-0172

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NPI Details

DR. Pane Aksone Nouvong, DPM is a foot surgery podiatrist in Los Angeles, CA with 28 years of experience. DR. Pane Aksone Nouvong, DPM NPI is 1144326729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1998

The provider's business location address is:

200 MEDICAL PLAZA SUITE 526
LOS ANGELES, CA
ZIP 90095-007
Phone: (310) 267-0172
Fax: (310) 725-4037

The NPI 1144326729 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/15/2006 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE4265CALIFORNIANo
2213ES0131XPodiatristFoot SurgeryE4265CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E4265OTHERCALIFORNIACA DPM LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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