Dr. Noureddin Dean Nourbakhsh, D.O.
Pediatrics, Pediatric Nephrology in San Diego, CA. Individual provider (NPI-1).
NPI number1801082003
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1801082003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Noureddin Dean Nourbakhsh
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0210X | Pediatrics, Pediatric Nephrology | 20A11746 | CA | Yes |
| 207RN0300X | Internal Medicine, Nephrology | 20A11746 | CA |
Practice location
8001 Frost StSan Diego, CA 92123-2746
Phone 858-966-8052
Mailing address
3020 Childrens WayMc5003
San Diego, CA 92123-4223
Phone 858-309-6300
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