DR. MOEZ KHORSANDI (NPI# 1316987050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316987050 |
| Entity Type | Individual |
| Full Name | DR. MOEZ KHORSANDI |
| Credential | D.O., FACOS |
| Practice Address |
1245 Wilshire Blvd Suite 408 Los Angeles CA 90017-4810 |
| Practice Telephone | 2134822910 |
| Mailing Telephone | 2134822910 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 20A6773 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1245 WILSHIRE BLVD SUITE 408 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805914 | Thomas Henry Kanegae | Internal Medicine | 1245 Wilshire Blvd, Ste 804, Los Angeles, CA 90017-4810 | 2005-07-20 |
| 1548736903 | Jocelyn Choy | Physician Assistant | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2018-10-23 |
| 1619419819 | Mandy Littlefield | Nurse Practitioner | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2016-11-06 |
| 1710431853 | Judy Justus | Physician Assistant | 1245 Wilshire Blvd, #707, Los Angeles, CA 90017-4810 | 2016-08-05 |
| 1295196756 | Suyoun Lee | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2016-03-11 |
| 1588024723 | Yahan Chung | Registered Nurse | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2016-03-01 |
| 1770964454 | Billings Orthopedics Inc | Orthopaedic Surgery | 1245 Wilshire Blvd, Suite 611, Los Angeles, CA 90017-4810 | 2015-06-17 |
| 1730570243 | Carmina-lou Paez | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2015-02-05 |
| 1639569270 | Los Angeles Cardiology Associates | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2015-02-04 |
| 1316357007 | Olivia A Wu | Nurse Practitioner | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689092728 | Fuad Fredric Elkhoury | Urology | 200 Med Plaza, Suite 140, Los Angeles, CA 90048 | 2014-04-05 |
| 1457778763 | Boston Medical Group California, L.L.C. | Urology | 9911 W. Pico Blvd, Suite 1215, Los Angeles, CA 90035 | 2014-03-25 |
| 1700219532 | Erwin Robert Blum | Urology | 3224 S Bentley Ave, Los Angeles, CA 90034-5204 | 2013-08-15 |
| 1851637235 | Andre Berger | Urology | 1516 San Pablo Street, Los Angeles, CA 90089-0112 | 2012-12-12 |
| 1548537335 | Kiran Gollapudi | Urology | Ucla Urology 10833 Le Conte Ave, 66-124 Chs, Los Angeles, CA 90095-0001 | 2011-11-21 |
| 1154632602 | Arash Akhavein Mohammadi | Urology | 8631 W 3rd St Ste 715e, Los Angeles, CA 90048 | 2010-06-30 |
| 1639307333 | Francis Thomas Greene | Urology | 603 N. June St, Los Angeles, CA 90004-1011 | 2009-07-01 |
| 1225278211 | Timothy John Daskivich | Urology | Chs 66 124, 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2009-03-03 |
| 1851562144 | Jonathan Bergman | Urology | 11907 Darlington Avenue #202, Los Angeles, CA 90049 | 2008-03-14 |
| 1023292851 | Pejvak Sassani | Urology | 4900 W Sunset Blvd Fl 2, Los Angeles, CA 90027-5814 | 2007-12-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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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.