Kourosh Nourisamie in Long Beach - Diagnostic Radiology

Kourosh Nourisamie - NPI 1124000757

Kourosh Nourisamie is a Diagnostic Radiology in Long Beach, California. Kourosh Nourisamie practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kourosh Nourisamie is 1124000757. The last update date is 2015-03-25.

Kourosh Nourisamie's current location address is 4241 Long Beach Blvd, Long Beach, California. You can contact this provider via phone number 5629122507 and fax number 4849162507. The mailing address for Kourosh Nourisamie is 4241 Long Beach Blvd, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kourosh Nourisamie
Address 4241 Long Beach Blvd, Long Beach, California
Phone Number 5629122507
Fax Number 4849162507
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124000757
Provider Enumeration Date 2005-11-18
Last Updated Date 2015-03-25

Provider Mailing Address Detail

Address 4241 Long Beach Blvd
City Long Beach
State California (CA)
Post Code 908072003
Phone Number 5629122507
Fax Number 4849162507

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No A81741
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A817410 BLUE SHIELD
00A817410 CA --

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FAQs about Kourosh Nourisamie

What is the unique provider identifier assigned to Kourosh Nourisamie?

The Kourosh Nourisamie has been issued the NPI (National Provider Identifier) 1124000757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kourosh Nourisamie's facilities are situated?

The facilities of Kourosh Nourisamie are physically located at the following address: 4241 Long Beach Blvd, Long Beach, CA, 908072003.

What is Kourosh Nourisamie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kourosh Nourisamie is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

When was the Kourosh Nourisamie's 1124000757 issued?

The Kourosh Nourisamie's 1124000757 was issued on 2005-11-18.

As of what date were the Kourosh Nourisamie's details last updated?

The information pertaining to the Kourosh Nourisamie, including its address, specialty, and other details, was most recently updated on 2015-03-25.

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