Individual
KOUROS NOURIMAHDAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
100 STEIN PLZ, STE 1-340, LOS ANGELES, CA 90095-0001
(310) 825-5000
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
(310) 825-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A102448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1024480
—
CA
Enumeration date
01/23/2008
Last updated
08/26/2011
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