Organization
M NOUSHKAM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOHAMMAD B NOUSHKAM MD (OWNER CEO)
(213) 389-5570
Entity
Organization
Contact information
Practice address
274 ONE AND HALF S RAMPART BLVD, LOS ANGELES, CA 90057-1404
(213) 389-5570
(213) 389-5578
Mailing address
274 ONE AND HALF S RAMPART BLVD, LOS ANGELES, CA 90057-1404
(213) 389-5570
(213) 389-5578
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A45935
MEDICAL CERTIFICATE
CA
Enumeration date
06/06/2007
Last updated
08/22/2020
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