M NOUSHKAM MD INC NPI 1770786022

NPI Information

NPI: 1770786022
Provider Name: M NOUSHKAM MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
274 ONE AND HALF S RAMPART BLVD
LOS ANGELES, CA
ZIP 90057
Phone: (213) 389-5570
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M NOUSHKAM MD INC is a general practice in Los Angeles, CA. M NOUSHKAM MD INC NPI is 1770786022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

274 ONE AND HALF S RAMPART BLVD
LOS ANGELES, CA
ZIP 90057-404
Phone: (213) 389-5570
Fax: (213) 389-5578

The provider's authorized official is Nohammad B Noushkam .
The authorized official title is Owner Ceo and has the following contact phone number (213) 389-5570.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/22/2020.

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
1	208D00000X	General Practice		A45935	CALIFORNIA	Yes

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
1	A45935	OTHER	CALIFORNIA	MEDICAL CERTIFICATE

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: 11/14/2023

NPI Synchronization or Removal

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