KOUROSH KEVIN SHAMLOU (NPI# 1073621470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073621470 |
| Entity Type | Individual |
| Full Name | KOUROSH KEVIN SHAMLOU |
| Credential | M.D. |
| Practice Address |
11411 Brookshire Ave Suite 200 Downey CA 90241-5026 |
| Practice Telephone | 5628694421 |
| Practice Fax Number | 5628693600 |
| Mailing Telephone | 5628694421 |
| Mailing Fax Number | 5628693600 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G79362 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
G79362 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11411 BROOKSHIRE AVE SUITE 200 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797381 | Ragaa Z Iskarous Md Inc | General Practice | 11411 Brookshire Ave, #201, Downey, CA 90241 | 2006-02-02 |
| 1346646619 | Vascular Access Center of South Los Angeles LLC | Surgery | 11411 Brookshire Ave, Suite 301, Downey, CA 90241-5026 | 2014-11-13 |
| 1326441817 | Shoshana Polevoy | Nurse Practitioner | 11411 Brookshire Ave, Suite 508, Downey, CA 90241-5026 | 2014-09-29 |
| 1750702270 | John Tilley | Pharmacist | 11411 Brookshire Ave, Suite #107, Downey, CA 90241-5026 | 2013-12-31 |
| 1225386915 | United Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1578811279 | Miracle Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1417240714 | Andrew D Rah, A California Medical Corp | Legal Medicine | 11411 Brookshire Ave, Suite 201, Downey, CA 90241-5026 | 2011-05-18 |
| 1821397670 | Omar & Yusuf Dental Corp | Dentist | 11411 Brookshire Ave, Suite 405, Downey, CA 90241-5026 | 2011-03-18 |
| 1508183872 | Stat Sleep Center | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2010-04-27 |
| 1487985818 | Drmc-western Osteopathic Center for Well-being | Neuromusculoskeletal Medicine & OMM | 11411 Brookshire Ave, Suite #304, Downey, CA 90241-5026 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780841999 | Lee Bryan Silver | Orthopaedic Surgery | 8050 Florence Ave Ste 107, Downey, CA 90240-3881 | 2008-05-16 |
| 1639245129 | Mark Allan Silver | Orthopaedic Surgery | 8050 Florence Ave, Suite 107, Downey, CA 90240-3834 | 2006-11-27 |
| 1033293121 | Frank Burnard Giacobetti | Orthopaedic Surgery | 8555 E Florence Ave, Downey, CA 90240 | 2006-10-25 |
| 1124120092 | Simon Lavi | Orthopaedic Surgery | 7700 Imperial Hwy, Suite R, Downey, CA 90242-3469 | 2006-09-02 |
| 1487762944 | Richard Byron Chambers | Orthopaedic Surgery | 11411 Brookshire Ave 200, Downey, CA 90241-5004 | 2006-08-26 |
| 1538241237 | Robert Waters | Orthopaedic Surgery | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-10-20 |
| 1508967548 | Pradeep J Kumar | Orthopaedic Surgery | 9353 Imperial Highway, Downey, CA 90242-3456 | 2006-09-25 |
| 1003918996 | Simon Lavi, D.o. | Orthopaedic Surgery | 7700 Imperial Hwy, Suite R, Downey, CA 90242-3469 | 2006-09-02 |
| 1831209808 | Robert Brumfield | Orthopaedic Surgery | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-08-30 |
| 1053429456 | Vance Charles Eberly | Orthopaedic Surgery | 11525 Brookshire Ave, Suite #405, Downey, CA 90241-4985 | 2006-08-26 |
| Find all providers in DOWNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.