Individual provider Active NPI

Hela Kammoun, MNRICORE SPECIALIST

  • Specialist
  • Irvine, CA
National Provider Identifier
1982006144
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1929 Main St Ste 103
Irvine, CA 92614-6524
Phone
(949) 307-6914
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1929 Main St Ste 103
Irvine, CA 92614-6524

Mailing address

14271 Jeffrey Rd # 254
Irvine, CA 92620-3405
Phone (949) 307-6914

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

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1982006144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14271 JEFFREY RD # 254",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203405",
            "telephone_number": "949-307-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 MAIN ST STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146524",
            "telephone_number": "949-307-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMOUN",
        "first_name": "HELA",
        "credential": "MNRICORE SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.