Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A102049 | CA |
N | 111NI0900X | Internist | A102049 | CA |
Y | 207RR0500X | Rheumatology | A102049 | CA |
NPI | 1093907198 |
---|---|
Provider Name | Noreen Hussaini |
First Address | Fountain Valley, CA 92708-3720 |
Second Address | Long Beach, CA 90808-1793 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 24/08/2020 |