Provider Demographics
NPI:1720163728
Name:HOURANY, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HOURANY
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 1:2329 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:CASA COLINA MEDICAL CENTER
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91769
Practice Address - Country:US
Practice Address - Phone:909-450-0158
Practice Address - Fax:909-593-0096
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55807207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A558070Medicaid
CA00A558072Medicare PIN
CAG66040Medicare UPIN
CA00A558070Medicaid