Healthcare Provider Details

I. General information

NPI: 1235092420
Provider Name (Legal Business Name): NOOR FOZAN EL-NOUNOU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 J ST
SACRAMENTO CA
95819-6000
US

IV. Provider business mailing address

142 ORCHARD PARK DR APT 124
DAVIS CA
95616-5247
US

V. Phone/Fax

Practice location:
  • Phone: 916-278-6000
  • Fax:
Mailing address:
  • Phone: 408-569-8221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: