| Bobby Nourani D.o Medical Corporation | |
|
21 7th Pl Apt 709 Long Beach CA 90802-5872 | |
| (562) 546-2811 | |
| (810) 202-7549 |
| Full Name | Bobby Nourani D.o Medical Corporation |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 21 7th Pl Apt 709, Long Beach, California |
| Authorized Official Name and Position | Bobby Nourani (CEO/OWNER) |
| Authorized Official Contact | 5625462811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby Nourani D.o Medical Corporation 21 7th Pl Apt 709 Long Beach CA 90802-5872 Ph: (562) 546-2811 | Bobby Nourani D.o Medical Corporation 21 7th Pl Apt 709 Long Beach CA 90802-5872 Ph: (562) 546-2811 |
| NPI Number | 1427673573 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 08/03/2020 |
| Medicare PECOS PAC ID | 9335567023 |
|---|---|
| Medicare Enrollment ID | O20200911001959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427673573 | NPI | - | NPPES |
| Provider Name | Bobby Nourani |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1700115961 PECOS PAC ID: 9234392960 Enrollment ID: I20130712000586 |
| Provider Name | Sean Patrick Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518458165 PECOS PAC ID: 7214291731 Enrollment ID: I20190102001084 |
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