Active NPI
Noura Kamali Azad, DDS
- Dentist
- West Hollywood, CA
National Provider Identifier
1992366165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103868
- Practice address
- 118 S Clark Dr Apt 204
West Hollywood, CA 90048-3276 - Phone
- (917) 579-8533
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 103868 | CA | Primary |
Addresses
Primary practice location
118 S Clark Dr Apt 204
West Hollywood, CA 90048-3276
Mailing address
118 S Clark Dr Apt 204
West Hollywood, CA 90048-3276
Phone (917) 579-8533
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 |
|---|---|---|---|
| 103868 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1992366165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S CLARK DR APT 204",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900483276",
"telephone_number": "917-579-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S CLARK DR APT 204",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900483276",
"telephone_number": "917-579-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMALI AZAD",
"first_name": "NOURA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.