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General NPI Number Information
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NPI Number | 1578591715
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Entity Type | Organization
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Legal Business Name | J M HOURANI INC
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST SUITE 735E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 310-657-4170
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Fax | 310-657-8909
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Provider Business Mailing Address
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Address Line | 2708 WILSHIRE BLVD SUITE 469
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City | SANTA MONICA
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State | CA
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Zip | 90403-4706
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Country | US
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Telephone | 310-657-4170
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Fax | 310-657-8909
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Authorized Official
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Title or Position | OWNER
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Name | JAMEEL M HOURANI
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Credential | MD
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Telephone | 310-657-4170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 20A5417
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License Number State | CA
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