Organization Active NPI

Abram Kostenboym, MD PHD

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1144246208
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A38783 Issued in CA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0100410MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.