Provider Demographics
NPI:1114115748
Name:NOURIAN, HORMOZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:HORMOZ
Middle Name:
Last Name:NOURIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20929 VENTURA BLVD
Mailing Address - Street 2:SUITE #19
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-716-1616
Mailing Address - Fax:818-716-1133
Practice Address - Street 1:20929 VENTURA BLVD
Practice Address - Street 2:SUITE #19
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-716-1616
Practice Address - Fax:818-716-1133
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice