Organization Active NPI

Girish Mohan MD Inc.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1003520602
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jan 9, 2023

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL 424-270-1313

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.