Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryam Pourjalil, NP

Individual provider Family Nurse Practitioner · NPI 1114791910

Maryam Pourjalil, NP is a Nurse Practitioner in Tarzana, California. Qualified in 2025, 1 year ago. Practices with Mordo Suchov MD Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

18321 Clark St
Tarzana, CA 91356-3501
Phone: (310) 567-9229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95028015 (CA)

Record details

NPI number1114791910
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 13, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mordo Suchov Md Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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