Organization Active NPI

Koorosh Joshua Elihu, a Professional Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
National Provider Identifier
1053874628
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KOOROSH JOSHUA ELIHU, A PROFESSIONAL CORPORATION
Practice address
8905 Venice Blvd Ste 106
Los Angeles, CA 90034-3340
Phone
(213) 340-6505
Fax
(800) 515-1908
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Koroosh Joshua Elihu, MD
Title
Owner
Phone
(310) 497-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

8905 Venice Blvd Ste 106
Los Angeles, CA 90034-3340

Mailing address

315 N Doheny Dr
Beverly Hills, CA 90211-1621
Phone (310) 497-1300

Other names 1

  • The Elihu Institute Doing business as

National Provider Directory

National Provider Directory

Locations

8905 Venice Blvd
Ste 106
Los Angeles, CA 90034
Phone (213) 340-6505

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1053874628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N DOHENY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111621",
            "telephone_number": "310-497-1300",
            "fax_number": "800-515-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 VENICE BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343340",
            "telephone_number": "213-340-6505",
            "fax_number": "800-515-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOROSH JOSHUA ELIHU, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "ELIHU",
        "authorized_official_first_name": "KOROOSH",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-497-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Elihu Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Elihu Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 17, 2019; 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.