Culver City Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 27469 Issued in CA

Legal business name

CULVER CITY HEALTH CENTER

Practice address

4340 Overland Ave
Culver City, CA 90230-4117

Phone

(310) 204-2555

Fax

(310) 204-2522

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Renee A. Kohanim, D.C.NPI 1386725158

Title

President

Phone

(310) 204-2555

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee A. Kohanim, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1386725158
  NPD (past) Authorized official

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1104154129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304117",
            "telephone_number": "310-204-2555",
            "fax_number": "310-204-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304117",
            "telephone_number": "310-204-2555",
            "fax_number": "310-204-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER CITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "KOHANIM",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-204-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 27469",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayana Paola Cruz
• Francisco Cruz
• Edith M. Cuevas-Mendoza, D.M.D.
• Monica Culpepper
• Culver City Eye Institute, Inc.
• Culver City Operations West, LLC
• Culver City Pediatrics
• Culver City Psychological Associates, Inc.
• Culver City Specialty and Podiatry Group
• Culver City Surgical Center

• All providers in Culver City, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.