Individual
JOHN P MOURANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 E BONITA AVE BLDG 1B, POMONA, CA 91767-1923
(909) 275-7470
(909) 971-4532
Mailing address
310 N INDIAN HILL BLVD, PMB # 801, CLAREMONT, CA 91711-4611
(909) 275-7470
(909) 971-4532
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A80001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A800010
—
CA
Enumeration date
05/04/2006
Last updated
08/30/2019
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