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Physician Compare National (NPI:1235191131)

HEALTHCARE PROVIDER: NORMA E BACHOURA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1235191131
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7719960780
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070703000715
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BACHOURA
Individual professional last name
Provider First Name NORMA
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 1991
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 150 W FOOTHILL BLVD
Group Practice or individual's line 1 address
City SAN DIMAS
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 917731102
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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