Nourisamie, Kourosh
Nourisamie, Kourosh is an individual health care provider with primary practice located at 4241 Long Beach Blvd , Long Beach CA 90807-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nourisamie, Kourosh can be contacted via phone (562) 912-2507.Contact Information
Primary practice address
4241 Long Beach Blvd
Long Beach CA 90807-2003
Phone: (562) 912-2507
Fax: (484) 918-2507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A81741 | California |
Profile Details
| NPI number | 1124000757 |
|---|---|
| LBN Legal business name | Nourisamie, Kourosh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Mar 25th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124000757 | NPPES |
| Other | 00A817410 | BLUE SHIELD | |
| MEDICAID | 00A817410 | BLUE SHIELD |
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