Active NPI
Girish Mohan MD Inc.
- Clinic/Center
- Los Angeles, CA
National Provider Identifier
1003520602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- GIRISH MOHAN MD INC.
- Practice address
- 600 S San Vicente Blvd
Los Angeles, CA 90048-4653 - Phone
- (310) 873-3312
- NPI assigned
- Jan 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Girish Mohan
- Title
- Ceo
- Phone
- (310) 873-3312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
600 S San Vicente Blvd
Los Angeles, CA 90048-4653
Mailing address
325 N Maple Dr Unit 17773
Beverly Hills, CA 90209-5866
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 424-270-1313 |
National Provider Directory
National Provider DirectoryLocations
325 N Maple Dr
Unit 17773
Beverly Hills, CA 90209
325 N Maple Dr
#17773
Beverly Hills, CA 90210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1003520602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N MAPLE DR UNIT 17773",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902095866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S SAN VICENTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484653",
"telephone_number": "310-873-3312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIRISH MOHAN MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "MOHAN",
"authorized_official_first_name": "GIRISH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-873-3312"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "424-270-1313",
"affiliation": "N",
"endpointDescription": "fax",
"address_1": "600 S San Vicente Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900484653",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.