Individual
AHMAD K NOORISTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 E CHAPEL ST, SANTA MARIA, CA 93454-4699
(805) 922-6657
(805) 439-2364
Mailing address
525 BLUEROCK DR, SAN LUIS OBISPO, CA 93401-5678
(805) 821-1176
(805) 439-2364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A104544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104544
CA MEDICAL LICENSE
CA
Enumeration date
08/01/2008
Last updated
01/29/2026
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