Individual
AFSANEH NOURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 937-6370
Mailing address
PO BOX 2211, LA MESA, CA 91943-2211
(619) 733-1163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A64870
CA
Other
Enumeration date
05/03/2006
Last updated
01/06/2017
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