Basic Information
| Provider Information | |||||||||
| NPI: | 1437443413 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOUD | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2026 CAMBRIDGE AVE | ||||||||
| Address2: | |||||||||
| City: | CARDIFF BY THE SEA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920071708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7609260335 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3156 VISTA WAY | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920563622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7605478000 | ||||||||
| FaxNumber: | 7605478001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2011 | ||||||||
| LastUpdateDate: | 02/29/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | A116438 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0204X | A116438 | CA | Y | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
No ID Information.