| Fouad M. Nouri M.d, Inc | |
|
10732 Jefferson Blvd Culver City CA 90230-4933 | |
| (310) 559-7311 | |
| (310) 559-7325 |
| Full Name | Fouad M. Nouri M.d, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 10732 Jefferson Blvd, Culver City, California |
| Authorized Official Name and Position | Fouad Mohammed Nouri (PRESIDENT) |
| Authorized Official Contact | 3105597311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fouad M. Nouri M.d, Inc 10732 Jefferson Blvd Culver City CA 90230-4933 Ph: (310) 559-7311 | Fouad M. Nouri M.d, Inc 10732 Jefferson Blvd Culver City CA 90230-4933 Ph: (310) 559-7311 |
| NPI Number | 1679768931 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679768931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A064212 (California) | Primary |
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