Organization
NOUROLLAH B. GHORBANI,M.D.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOUROLLAH B. GHORBANI M.D. (PRESIDENT)
(925) 946-9004
Entity
Organization
Contact information
Practice address
130 LA CASA VIA, SUITE 102, WALNUT CREEK, CA 94598-3045
(925) 946-9004
(925) 946-9319
Mailing address
130 LA CASA VIA, SUITE 102, WALNUT CREEK, CA 94598-3045
(925) 946-9004
(925) 946-9319
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A40690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508970682
PHYSICIAN NPI
CA
Enumeration date
11/17/2010
Last updated
11/17/2010
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