| Organization Name: | NOALAB MEDICAL CLINIC INC |
| NPI Number: | 1619226347 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIHAD S AL-IMAMI (PRESIDENT/CEO) |
| Mailing Address: | 6428 Coldwater Canyon Ave North Hollywood |
| State: | CA US |
| Postal Code: | 916061113 |
| Phone Number: | 8183086440 |
| Fax Number: | 8183086351 |
| NPI Enumeration Date: | 09/10/2012 |
| NPI Last Update Date: | 09/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A30092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |