M NOUSHKAM MD INC – NPI #1770786022
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

M NOUSHKAM MD INC is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1770786022 to M NOUSHKAM MD INC on June 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for M NOUSHKAM MD INC below.

NPI Profile for
M NOUSHKAM MD INC

NPI Number
1770786022
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
M NOUSHKAM MD INC
Primary location
274 ONE AND HALF S RAMPART BLVD
LOS ANGELES, CA 90057-1404
Phone: (213) 389-5570 Fax: (213) 389-5578
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NOHAMMAD NOUSHKAM
OWNER CEO
Phone: (213) 389-5570
Updated
Identifiers

Identifiers for M NOUSHKAM MD INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL CERTIFICATECAA45935
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 CA A45935

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.