Provider Demographics
NPI:1205959392
Name:HOURANY MEDICAL CORPORATION
Entity type:Organization
Organization Name:HOURANY MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOURANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-450-0158
Mailing Address - Street 1:2329 NAVARRO DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-1761
Mailing Address - Country:US
Mailing Address - Phone:909-450-0158
Mailing Address - Fax:909-593-0096
Practice Address - Street 1:255 E BONITA AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91769-1923
Practice Address - Country:US
Practice Address - Phone:909-450-0158
Practice Address - Fax:909-593-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55807207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ05042ZMedicare PIN
CAG66040Medicare UPIN
CAW21178Medicare PIN