SOM KOHANZADEH (NPI# 1952575342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952575342 |
| Entity Type | Individual |
| Full Name | SOM KOHANZADEH |
| Credential | MD |
| Practice Address |
250 N Robertson Blvd Ste 106 Beverly Hills CA 90211-1767 |
| Mailing Address |
9663 Santa Monica Blvd # 1151 Beverly Hills CA 90210-4303 |
| Practice Telephone | 3109194179 |
| Practice Fax Number | 8186434255 |
| Mailing Telephone | 3109194179 |
| Mailing Fax Number | 8186434255 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A95627 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A95627 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
250 N ROBERTSON BLVD STE 106 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-1767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909945 | Annie Y Tsai, Md, Inc. | Anesthesiology | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2019-12-16 |
| 1275181299 | Kelsey Jean Barth | Physician Assistant | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2019-09-03 |
| 1265908966 | Cancer Institute of America Medical Corporation | Surgery | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2018-10-19 |
| 1053862029 | Marina Russman M.d., Apc | Specialist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2016-10-14 |
| 1437505393 | Wound Institute of America, Inc. | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2016-05-10 |
| 1912373952 | David A. Pougatsch, Dpm, Inc. | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2015-08-13 |
| 1619271616 | David Pougatsch | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1619355757 | Justin E Rome Md PC | Surgery | 256 S La Cienega Blvd, Beverly Hills, CA 90211-3302 | 2015-05-08 |
| 1124140355 | Gabriel Ham-chang Chiu Jr. | Surgery | 9454 Wilshire Blvd, Ground Floor #108, Beverly Hills, CA 90212-2929 | 2007-04-06 |
| 1346371929 | Dennis Dass | Surgery | 8929 Wilshire Blvd Ste 420, Beverly Hills, CA 90211-1953 | 2007-03-08 |
| 1891854915 | Ryan Andrew Stanton | Surgery | 9090 Burton Way, Beverly Hills, CA 90211 | 2006-12-06 |
| 1144301748 | Farid Afra | Surgery | 450 Trousdale Pl, Beverly Hills, CA 90210-1904 | 2006-10-18 |
| 1467076885 | Amy Maria York | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2020-06-01 |
| 1053960591 | Samer Alnajjar, M.d., Inc. | Surgery | 465 N Roxbury Dr Ste 1020, Beverly Hills, CA 90210-4213 | 2019-09-07 |
| 1861979288 | Cassileth Recontructive Surgeons, Inc | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2018-07-27 |
| 1265920672 | Andrew T Cohen A Medical Corporation | Surgery | 9400 Brighton Way Ste 201, Beverly Hills, CA 90210-4709 | 2018-05-01 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on SOM KOHANZADEH.
| 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.