Active NPI
Abram Kostenboym, MD PHD
- Internal Medicine Physician
- West Hollywood, CA
National Provider Identifier
1144246208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A38783
- Legal business name
- ABRAM KOSTENBOYM, MD PHD
- Practice address
- 7855 Santa Monica Blvd
West Hollywood, CA 90046-5344 - Phone
- (323) 656-1082
- Fax
- (323) 656-1083
- NPI assigned
- Jul 14, 2006
- Last updated
- Nov 20, 2009
- 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
- Abram Kostenboym, MD
- Title
- President
- Phone
- (323) 656-1082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A38783 | CA | Primary |
Addresses
Primary practice location
7855 Santa Monica Blvd
West Hollywood, CA 90046-5344
Mailing address
7855 Santa Monica Blvd
West Hollywood, CA 90046-5344
Phone (323) 656-1082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0100410 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2730 Wilshire Blvd
Ste 460
Santa Monica, CA 90403
Phone (310) 453-4010
7855 Santa Monica Blvd
West Hollywood, CA 90046
Phone (310) 623-9222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258675200000",
"number": "1144246208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465344",
"telephone_number": "323-656-1082",
"fax_number": "323-656-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465344",
"telephone_number": "323-656-1082",
"fax_number": "323-656-1083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABRAM KOSTENBOYM, MD PHD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2009-11-20",
"status": "A",
"authorized_official_last_name": "KOSTENBOYM",
"authorized_official_first_name": "ABRAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-656-1082",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A38783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0100410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.