# BOBBY NOURANI D.O MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427673573
- **Authorized official:** SHANNON MILLER (OFFICE MANAGER)
- **Authorized official phone:** (760) 604-8823

## Contact information

- **Practice address:** 23101 LAKE CENTER DR STE 315, LAKE FOREST, CA 92630-6812
- **Practice address phone:** (562) 546-2811
- **Practice address fax:** (810) 202-7549
- **Mailing address:** 21 7TH PL APT 709, LONG BEACH, CA 90802-5872
- **Mailing address phone:** (562) 546-2811
- **Mailing address fax:** (810) 202-7549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 02/20/2026