LOS ANGELES KIDNEY CENTER A PROFESSIONAL CORPORATION


Address: 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901
Phone: 3109275807

LOS ANGELES KIDNEY CENTER A PROFESSIONAL CORPORATION (NPI# 1790158921) 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) 1790158921
Entity Type Organization
Organization Name LOS ANGELES KIDNEY CENTER A PROFESSIONAL CORPORATION
Practice Address 1127 Wilshire Blvd
Suite 510
Los Angeles
CA 90017-3901
Practice Telephone 3109275807
Mailing Telephone 3109275807
Enumeration Date 2015-11-10
Last Update Date 2015-11-10
Authorized Official Name DR. ARDAVAN YAGHOUB MASHHADIAN (MEDICAL DIRECTOR)
Authorized Official Telephone 3109275807
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
20A11899 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1127 WILSHIRE BLVD
SUITE 510
City LOS ANGELES
State CA
Zip Code 90017-3901

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NPI Name Taxonomy Address Enumeration
1114926730 Jeffrey Merrick Sage Ophthalmology 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 2005-07-15
1225563281 Jeffrey M Sage D.o. Inc. Ophthalmology 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 2017-04-27
1467996793 Select Surgical, LLC Clinic/Center 1127 Wilshire Blvd, Suite 1000, Los Angeles, CA 90017-3901 2016-12-06
1427509140 Soha Dolatabadi Md A Professional Corporation Internal Medicine 1127 Wilshire Blvd, Suite 708, Los Angeles, CA 90017-3901 2016-10-18
1558810754 Elan Allison Orthotist 1127 Wilshire Blvd, 310, Los Angeles, CA 90017-3901 2016-09-28
1811355134 Natasha Pejman-gonzalez Student in an Organized Health Care Education/Training Program 1127 Wilshire Blvd, Suite 1504, Los Angeles, CA 90017-3901 2016-02-01
1295110294 Carlos S Martinez Md Inc Internal Medicine 1127 Wilshire Blvd, Ste 1100, Los Angeles, CA 90017-3901 2015-07-21
1114308905 Connect Hearing, Inc. Audiologist 1127 Wilshire Blvd, Ste 1202, Los Angeles, CA 90017-4003 2015-06-17
1699173922 Jah Hand Surgery Orthopaedic Surgery 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 2014-12-19
1295130102 Apla Health & Wellness Clinic/Center 1127 Wilshire Blvd, Suite 1504, Los Angeles, CA 90017-3901 2014-11-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619452869 Kristel Padua Dongallo Internal Medicine 1701 Cesar Chavez Ave., Suite 536, Los Angeles, CA 90033 2018-10-03
1487033353 Los Angeles Kidney Center, A Professional Medical Corporation Internal Medicine 1717 Malcolm Ave, Ph 1, Los Angeles, CA 90024-6824 2015-05-26
1841639622 Anthony Sebastian Montuno Internal Medicine 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 2013-06-14
1013351790 Hong Thi Thanh Dang Internal Medicine 4733 W. Sunset Blvd 3rd Floor, Kaiser Permanente Southern California, Los Angeles, CA 90027 2013-04-24
1548574056 La Familia Medical Group, Inc. Internal Medicine 6433 Whittier Blvd, Los Angeles, CA 90022-4627 2010-07-27
1053636977 Theresa Nilson Henke Internal Medicine 8635 W 3rd St Ste 1195w, Los Angeles, CA 90048-6146 2010-04-03
1790014090 Hira L Jindal M D Inc Internal Medicine 711 W College St Ste 590, Los Angeles, CA 90012-1256 2009-12-15
1619175718 Huma Syeda Hasnain Internal Medicine 700 Tiverton Ave, 7-155 Factor Bldg, Los Angeles, CA 90095-8361 2007-07-10
1932237013 Peter H. Lee Internal Medicine 4220 W 3rd St Ste 203, Los Angeles, CA 90020-3450 2007-03-01
1275668733 Andrew Jay Lewin Internal Medicine 2010 Wilshire Blvd Ste 302, Los Angeles, CA 90057-3550 2007-02-23
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Competitor

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City LOS ANGELES
Zip Code 90017

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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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