Active NPI
Michael D. Borookhim, M.D., Inc
- Internal Medicine Physician
- Beverly Hills, CA
National Provider Identifier
1023189289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A68706
- Legal business name
- MICHAEL D. BOROOKHIM, M.D., INC
- Practice address
- 9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-5424 - Phone
- (310) 288-0881
- NPI assigned
- Nov 10, 2006
- 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
- Michael D Borookhim, M.D.
- Title
- President
- Phone
- (310) 777-6667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A68706 | CA | Primary |
Addresses
Primary practice location
9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-5424
Mailing address
9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-5424
Phone (310) 288-0881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A687060 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
9301 Wilshire Blvd
Ste 602
Beverly Hills, CA 90210
Phone (310) 271-7012
5901 W Olympic Blvd
Ste 508
Los Angeles, CA 90036
Phone (310) 642-7774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023189289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD",
"address_2": "SUITE 602",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105424",
"telephone_number": "310-288-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD",
"address_2": "SUITE 602",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105424",
"telephone_number": "310-288-0881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL D. BOROOKHIM, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOROOKHIM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-777-6667",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A68706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A687060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.