J & M Laurel Medical Center INC

NPI #1174120349 in Pacoima, California

Provider Information

NPI Number: 1174120349
Entity Type: Organization
Organization Name: J & M Laurel Medical Center INC
Primary Specialty: General Practice
Enumeration Date: Oct 1, 2020
Last Updated: Oct 1, 2020

Practice Location

Address: 13680 VAN NUYS BLVD
City: Pacoima
State: California
ZIP Code: 91331-3616
Phone: (818) 897-7730

Authorized Official

Name: JAHANBAKHSH NOURI, MD
Title: PRESIDENT
Phone: (818) 897-7730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X	Primary

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