Organization Active NPI

Fowrooz Joolhar M.D. a Medical Corp

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1043434012
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A55067 Issued in CA
Legal business name
FOWROOZ JOOLHAR M.D. A MEDICAL CORP
Practice address
1510 S Central Ave
Suite 650
Glendale, CA 91204-2500
Phone
(818) 552-5010
Fax
(818) 552-5020
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Fowrooz Joolhar, M.D.
Title
Owner President
Phone
(818) 552-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A55067 CA Primary

Addresses

Primary practice location

1510 S Central Ave
Suite 650
Glendale, CA 91204-2500

Mailing address

PO Box 1557
Bakersfield, CA 93302-1557
Phone (818) 552-5010

National Provider Directory

National Provider Directory

Locations

1510 S Central Ave
Ste 650
Glendale, CA 91204
Phone (818) 507-0686

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1043434012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021557",
            "telephone_number": "818-552-5010",
            "fax_number": "818-552-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE",
            "address_2": "SUITE 650",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042500",
            "telephone_number": "818-552-5010",
            "fax_number": "818-552-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWROOZ JOOLHAR M.D. A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "JOOLHAR",
        "authorized_official_first_name": "FOWROOZ",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "818-552-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A55067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.