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Organization
NEW VISION TELEMEDICINE AND MEDICAL CONSULTANT, INC.
Active
Organization
NEW VISION TELEMEDICINE AND MEDICAL CONSULTANT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD K NOORISTANI MD (PRESIDENT)
(805) 821-1176
Entity
Organization
Contact information
Practice address
830 E CHAPEL ST, SANTA MARIA, CA 93454-4610
(805) 821-1176
Mailing address
525 BLUEROCK DR, SAN LUIS OBISPO, CA 93401-5678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
03/28/2022
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