Provider Demographics
NPI:1801608294
Name:ALEX NOURIAN M.D., INC.
Entity type:Organization
Organization Name:ALEX NOURIAN M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:NOURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-213-9168
Mailing Address - Street 1:2273 STRATFORD CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1316
Mailing Address - Country:US
Mailing Address - Phone:310-213-9168
Mailing Address - Fax:
Practice Address - Street 1:2625 W ALAMEDA AVE STE 400
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4817
Practice Address - Country:US
Practice Address - Phone:818-841-6055
Practice Address - Fax:818-841-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center