Provider Demographics
NPI:1235416785
Name:HOODA, NOORJAHAN (PA-C)
Entity Type:Individual
Prefix:
First Name:NOORJAHAN
Middle Name:
Last Name:HOODA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8540 ALONDRA BLVD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5200
Mailing Address - Country:US
Mailing Address - Phone:562-602-2508
Mailing Address - Fax:
Practice Address - Street 1:8540 ALONDRA BLVD
Practice Address - Street 2:SUITE B2
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5200
Practice Address - Country:US
Practice Address - Phone:562-602-2508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA13207363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical