Kourosh Nourisamie
Medical Specialty
Professional ID
- NPI: 1124000757
- PECOS ID: 0244131340
- Enrollment ID: I20040120000587
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1989
Hospital Service
- Hospital CCN1: 050485
- Business Name (LBN)1: Long Beach Memorial Medical Center
- Hospital CCN2: 050727
- Business Name (LBN)2: Community Hospital Of Long Beach
- Hospital CCN3: 030036
- Business Name (LBN)3: Chandler Regional Medical Center
- Hospital CCN4: 050353
- Business Name (LBN)4: Providence Little Company Of Mary Med Ctr Torrance
Medical Practices
- Organization Name: Glendora Radiological Associates, Inc
- Group Practice ID assigned by PECOS: 2163514589
- Number of Group Practice member: 21
Location
- Address1: 1115 S Sunset Ave
- Address2:
- City: West Covina
- State: California
- Zip Code: 91790
- Phone Number: (626)962-4011
Location
- Address1: 210 W San Bernadino Rd
- Address2:
- City: Covina
- State: California
- Zip Code: 91723
- Phone Number: (626)331-7331
Medical Practices
- Organization Name: Chandler Radiology Associates Llp
- Group Practice ID assigned by PECOS: 4183600877
- Number of Group Practice member: 29
Location
- Address1: 475 S Dobson Rd
- Address2:
- City: Chandler
- State: Arizona
- Zip Code: 85224
- Phone Number: (602)371-0936
Medical Practices
- Organization Name: Advanced Memorial Imaging Group, A Medical Corporation
- Group Practice ID assigned by PECOS: 5395835789
- Number of Group Practice member: 5
Location
- Address1: 301 W Bastanchury Rd
- Address2: Suite 130
- City: Fullerton
- State: California
- Zip Code: 92835
- Phone Number: (714)278-9363
Medical Practices
- Organization Name: Advanced Imaging Of South Bay, Inc.
- Group Practice ID assigned by PECOS: 8628080520
- Number of Group Practice member: 23
Location
- Address1: 36 Tall Hedge
- Address2:
- City: Irvine
- State: California
- Zip Code: 92603
- Phone Number: (310)303-5750
Medical Practices
- Organization Name: Memorialcare Medical Foundation
- Group Practice ID assigned by PECOS: 8729277314
- Number of Group Practice member: 287
Location
- Address1: 2801 Atlantic Ave
- Address2:
- City: Long Beach
- State: California
- Zip Code: 90806
- Phone Number: (562)933-1554
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):