Provider Demographics
NPI:1669551826
Name:HOURANY, VERONIQUE CF (MD)
Entity type:Individual
Prefix:DR
First Name:VERONIQUE
Middle Name:CF
Last Name:HOURANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E ARTESIA ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2900
Mailing Address - Country:US
Mailing Address - Phone:909-629-7878
Mailing Address - Fax:909-629-2850
Practice Address - Street 1:160 E ARTESIA ST
Practice Address - Street 2:SUITE 225
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2900
Practice Address - Country:US
Practice Address - Phone:909-629-7878
Practice Address - Fax:909-629-2850
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67498207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA67498Medicare PIN
CAI23114Medicare UPIN