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

Individual provider Physician Assistant · NPI 1396954079

Shohreh Nourollah, PA is a Physician Assistant in Los Angeles, California. Qualified in 2002, 24 years ago. Practices with Comprehensive Community Health Centers Inc, a 48-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1741 S Bedford St
Los Angeles, CA 90035-4320
Phone: (310) 497-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16960 (CA)

Record details

NPI number1396954079
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESMarch 6, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Comprehensive Community Health Centers Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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