Healthcare Provider Details

I. General information

NPI: 1013302652
Provider Name (Legal Business Name): NOOPUR NARULA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4014 LONG BEACH BLVD STE 210
LONG BEACH CA
90807-5409
US

IV. Provider business mailing address

4014 LONG BEACH BLVD STE 210
LONG BEACH CA
90807-5409
US

V. Phone/Fax

Practice location:
  • Phone: 562-997-7100
  • Fax: 562-981-9423
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95001256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: