Individual
NANCY T POURKARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1905 E 17TH ST, SUITE 312, SANTA ANA, CA 92705-8628
(714) 547-9668
(714) 879-9803
Mailing address
2936 PERSIMMON PL, FULLERTON, CA 92835-2219
(714) 547-9668
(714) 879-9803
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4438
CA
Other
Enumeration date
12/22/2005
Last updated
05/15/2013
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