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NPI Code Detail

MEDICARE: DR. BRIAN B NOROUZI M.D.

MEDICARE:  DR. BRIAN B NOROUZI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianG78215CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3340019087OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2G78215OTHERCABLUE CROSS
400G782153OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1912983818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN B NOROUZI M.D.
Provider Business Mailing Address
First Line : 1801 N BROADWAY
Second Line :
City : SANTA ANA
State : CA
Zip : 92706-2626
Country : US
Telephone Number : 714-547-5741
Fax Number : 714-547-5078
Provider Business Practice Location Address
First Line : 1801 N BROADWAY
Second Line :
City : SANTA ANA
State : CA
Zip : 92706-2626
Country : US
Telephone Number : 714-547-5741
Fax Number : 714-547-5078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 05/12/2026

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