DR. DAVID KOROSHEC


Address: 1926 Beverly Blvd, Los Angeles, CA 90057-2402
Phone: 2133531140

DR. DAVID KOROSHEC (NPI# 1104912336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104912336
Entity Type Individual
Full Name DR. DAVID KOROSHEC
Credential MD
Practice Address 1926 Beverly Blvd
Los Angeles
CA 90057-2402
Mailing Address 1766 Las Lunas St
Pasadena
CA 91106-1305
Practice Telephone 2133531140
Practice Fax Number 2136071434
Mailing Telephone 2133531140
Mailing Fax Number 2136071434
Enumeration Date 2006-10-05
Last Update Date 2013-03-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
G49623 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G496230 05

Office Location

Street Address 1926 BEVERLY BLVD
City LOS ANGELES
State CA
Zip Code 90057-2402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407461510 Liliana Martinez Psychologist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-09-15
1871105189 Kristen Parrish Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-08-18
1700494705 Rachael Michele Moore Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-07-16
1790308013 Jorge Martin Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-05-20
1457980898 Noe Alfredo Gavidia Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-04-07
1003456385 Edward Chavez Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-01-14
1104466267 Latham Lawton Iv Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-01-07
1629615638 Sarah Jean Han Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2019-12-09
1922641430 Mark Fernandez Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2019-10-28
1053962845 Robert Gustavo Jimenez Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2019-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013518315 Mayulee Wilawanwelsh Massage Therapist 349 S Lafayette Pk Pl, Los Angeles, CA 90057 2020-11-03
1437714615 Jackeline L Ramon Social Worker 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 2019-05-03
1467015743 Chanhwi Jung Acupuncturist 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 2019-04-22
1356818850 Anshim Acupuncture Inc Acupuncturist 4501 Alameda St., #107b #115, Los Angeles, CA 90057 2018-11-01
1538634670 Karina Herrera Case Manager/Care Coordinator 679 S. Hampshire Ave, Los Angeles, CA 90057 2018-10-04
1306323506 Jessica Myung Jin Yun Counselor 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 2018-07-20
1851887012 Scott Moon Dentist 2426 W. 8th St. #209, Los Angeles, CA 90057 2018-07-10
1780176107 Bianca Zafiro Case Manager/Care Coordinator 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 2018-06-01
1639677438 Claudia E Vides Inc A Dental Corporation Clinic/Center 2033 W. 7th Street, Los Angeles, CA 90057 2018-01-26
1720596414 Hee Sun No Pharmacist 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 2018-01-16
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841442290 William S Eidelman Family Medicine 1654 N Cahuenga Blvd, Los Angeles, CA 90028-6202 2008-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194332726 True North Detox LLC Family Medicine 2413 Whitmore Ave, Clovis, CA 93619-9252 2020-09-28
1639717473 Michael Stone Md Inc Family Medicine 1950 E 17th St Ste 101, Santa Ana, CA 92705-6852 2019-12-11
1720624497 Marina Harbor Detox Family Medicine 289 Marina Blvd, San Francisco, CA 94123-1212 2019-11-18
1093363848 Anthony Martin Ocana Family Medicine 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 2019-08-26
1821640137 L Snyder Incorporated Family Medicine 34052 La Plaza #101, Dana Point, CA 92629 2019-07-16
1720645328 Creative Child and Family Services, Inc. Family Medicine 7049 Ohio River Dr, Eastvale, CA 91752 2019-05-20
1932666575 Gold Country Health Initiative, LLC Family Medicine 820/830 State Highway 88, Jackson, CA 95642 2019-03-01
1629550660 University of California Sfgh Medical Group Family Medicine 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 2018-09-06
1952809592 Sunrise Health & Wellness Center, LLC Family Medicine 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935 2018-01-29
1487166120 Good Samaritan Shelter Family Medicine 412 East Tunnell Street, Santa Maria, CA 93454 2017-11-03
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90057

Improve Information

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Dataset Information

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.

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