Active NPI
Maryam Nouri Norouz
- Dental Hygienist
- Los Angeles, CA
National Provider Identifier
1790293520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 27640
- Practice address
- 10921 Wilshire Blvd Ste 912
Los Angeles, CA 90024-3906 - Phone
- (310) 579-9710
- NPI assigned
- Jan 15, 2018
- Last updated
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 27640 | CA | Primary |
Addresses
Primary practice location
10921 Wilshire Blvd Ste 912
Los Angeles, CA 90024-3906
Mailing address
5110 Catalon Ave
Woodland Hills, CA 91364-3314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27640 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Breathe Institute | Past | Accepting new patients | |
| Coppelson Dental Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Los Angeles, CA
- NPI 1740851617
-
- Clinic/Center
- Los Angeles, CA
- NPI 1275204976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1790293520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 CATALON AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913643314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD STE 912",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243906",
"telephone_number": "310-579-9710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOROUZ",
"first_name": "MARYAM",
"middle_name": "NOURI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "27640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Marie-Elisabeth Denise Normand, PHARM D
- Normandy Healthcare Inc (986 Pharmacy #8041)
- Normandy Pharmacy Inc (Normandy Pharmacy)
- Normandy Pharmacy Inc (Normandy Pharmacy)
- Eliana Norohian, PA
- Kimani Norrington-Sands, PH.D.
- Brianna Nicole Norris
- Christopher N Norris, BCBA, LAADC, ICAADC
- Keith Norris, MD
- Sheryce Norris, LICENSED VOCATIONAL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.