Individual
DEXTER CANOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1636 CHERRY TREE PL, UPLAND, CA 91784-2530
(626) 510-3301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95292177
CA
163WC1600X
Continuing Education/Staff Development Registered Nurse
95292177
CA
163WM0705X
Medical-Surgical Registered Nurse
95292177
CA
163WX0601X
Otorhinolaryngology & Head-Neck Registered Nurse
Primary
95292177
CA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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