Souzan Noorbakhsh | San Jose, CA • PECOS Search

Souzan Noorbakhsh

Social Worker

Behavioral Health & Social Service Providers

485 N 1st St, San Jose, CA 95112-4067

(510) 317-1437 (408) 554-2550

PECOS Enrollment

Based on the most recent information from CMS, provider Souzan Noorbakhsh does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1306441803
Provider Type
Individual
Full Name
Noorbakhsh, Souzan
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/2/2020
Last Updated
6/28/2023

Contact Information

Practice Location

485 N 1st St, San Jose, CA 95112-4067

Unlisted Fax

Mailing Location

485 N 1st St, San Jose, CA 95112-4067

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 104366 California