PAUL BRADLEY BOHN (NPI# 1568488963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568488963 |
Entity Type | Individual |
Full Name | PAUL BRADLEY BOHN |
Credential | MD |
Practice Address |
12300 Wilshire Blvd Ste 330 Los Angeles CA 90025-1057 |
Practice Telephone | 3108291924 |
Mailing Telephone | 3108291924 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G56308 | CA | Allopathic & Osteopathic Physicians |
X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G56308 | CA | Allopathic & Osteopathic Physicians |
X | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
G56308 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI CAL | 00G563080 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912021304 | Paul R Bohn | Pharmacist | 345 S Rand Rd, Lake Zurich, IL 60047-2271 | 2007-03-19 |
Street Address |
12300 WILSHIRE BLVD STE 330 |
City | LOS ANGELES |
State | CA |
Zip Code | 90025-1057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
Find all providers in zip 90025 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013237064 | Artha Gillis | Psychiatry & Neurology | 760 Westwood Plz Rm C8-193, Los Angeles, CA 90024-5055 | 2010-06-01 |
1942538343 | Alex Sahba Md, A Medical Corp | Psychiatry & Neurology | 2355 Westwood Blvd # 129, Los Angeles, CA 90064-2109 | 2009-11-23 |
1194987339 | Mark Steven Lipian | Psychiatry & Neurology | 2029 Century Park East, Suite 2890, Los Angeles, CA 90067-2901 | 2008-06-30 |
1407911662 | Samuel I Miles | Psychiatry & Neurology | 8631 W 3rd St Ste 425e, Los Angeles, CA 90048-5908 | 2006-12-27 |
1982774147 | Michael Malkin | Psychiatry & Neurology | 120 N Vista St, Los Angeles, CA 90036-2710 | 2006-11-08 |
1063418788 | John Ira Hochman | Psychiatry & Neurology | 6333 Wilshire Blvd, Ste 402, Los Angeles, CA 90048-5702 | 2005-06-27 |
1124472212 | Michael Kanell | Psychiatry & Neurology | 760 Westwood Plz Ste 37-384, Los Angeles, CA 90024-5055 | 2016-04-15 |
1124446224 | Thomas Rodriguez | Psychiatry & Neurology | 1200 N State St, Los Angeles, CA 90033-1029 | 2014-04-04 |
1669740338 | Jack Rothberg Md A Medical Copt | Psychiatry & Neurology | 6200 Wilshire Blvd, Suite 1612, Los Angeles, CA 90048 | 2011-12-08 |
1447580998 | Alisha Smith | Psychiatry & Neurology | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2010-01-06 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90025 |
Please comment or provide details below to improve the information on PAUL BRADLEY BOHN.
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.