Individual ProviderNabil NoureddinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address9350 Campus Point Dr, La Jolla, CA 92037-1300(800) 926-8273PECOS EnrollmentBased on the most recent information from CMS, provider Nabil Noureddin 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 yesterday at 12:57 PM.Profile DetailsProvider ID1972037026Provider TypeIndividualFull NameNoureddin, NabilCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/15/2017Last Updated7/10/2024Contact InformationPractice LocationPractice Address9350 Campus Point Dr, La Jolla, CA 92037-1300Phone(800) 926-8273FaxUnlisted FaxMailing LocationMailing AddressFile 57326, Los Angeles, CA 90074-0001PhoneUnlisted PhoneFax(702) 671-6430Provider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA167156CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense20002NevadaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer