Provider Demographics
NPI:1134320625
Name:PURKIN, NOEL (MD FRCS(C))
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:
Last Name:PURKIN
Suffix:
Gender:M
Credentials:MD FRCS(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16661 VENTURA BLVD 108
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1902
Mailing Address - Country:US
Mailing Address - Phone:818-808-2828
Mailing Address - Fax:818-788-0386
Practice Address - Street 1:22549 BLUERIDGE CT
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5897
Practice Address - Country:US
Practice Address - Phone:818-222-2465
Practice Address - Fax:403-770-8454
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50046207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine