Individual ProviderNader NoorianInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26800 Crown Valley Pkwy, Suite 305, Mission Viejo, CA 92691-6384(949) 364-6000(949) 282-1600PECOS EnrollmentBased on the most recent information from CMS, provider Nader Noorian is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861479057Provider TypeIndividualFull NameNoorian, NaderTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/28/2005Last Updated11/9/2021Contact InformationPractice LocationPractice Address26800 Crown Valley Pkwy, Suite 305, Mission Viejo, CA 92691-6384Phone(949) 364-6000Fax(949) 364-3213Mailing LocationMailing Address26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330Phone(949) 282-1600Fax(949) 367-0518Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG76596CaliforniaProvider IdentifiersIDDescriptionIssuerID00G765960DescriptionMedicaidIssuerUnlistedCalifornia