Individual
BRANDON NOORVASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 469-5589
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 469-5589
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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