Provider Demographics
NPI:1790925014
Name:HONARPOUR, NARIMON (MD)
Entity Type:Individual
Prefix:DR
First Name:NARIMON
Middle Name:
Last Name:HONARPOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 951679, BH-307 CHS
Mailing Address - Street 2:UCLA MED-CARDIO
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1679
Mailing Address - Country:US
Mailing Address - Phone:310-825-5280
Mailing Address - Fax:
Practice Address - Street 1:UCLA MED CARDIO
Practice Address - Street 2:BOX 951679, BH-307 CHS
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-825-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90501207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADG769ZMedicare PIN