Individual
DR. NOUREDDIN DEAN NOURBAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8001 FROST ST, SAN DIEGO, CA 92123-2746
(858) 966-8052
Mailing address
3020 CHILDRENS WAY, MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20A11746
CA
2080P0210X
Pediatric Nephrology Physician
Primary
20A11746
CA
Other
Enumeration date
09/20/2007
Last updated
05/04/2017
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