Provider Demographics
NPI:1821128406
Name:NOURMAND, MARK (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:NOURMAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:F. MARK
Other - Middle Name:
Other - Last Name:NOURMAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:9201 W. SUNSET BLVD. SUITE 212
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-3703
Mailing Address - Country:US
Mailing Address - Phone:310-275-0160
Mailing Address - Fax:310-274-7529
Practice Address - Street 1:9201 W. SUNSET BLVD. SUITE 212
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069-3703
Practice Address - Country:US
Practice Address - Phone:310-275-0160
Practice Address - Fax:310-274-7529
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12003111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic