Behrooz Broukhim, MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A30853 Issued in CA

Legal business name

BEHROOZ BROUKHIM, MD, INC.

Practice address

10640 Riverside Dr
North Hollywood, CA 91602-2319

Phone

(818) 755-6500

Fax

(818) 755-1870

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Behrooz Broukhim, MDNPI 1861595829

Title

President

Phone

(818) 755-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Behrooz Broukhim, MD

  • Orthopaedic Surgery Physician
  • North Hollywood, CA
  • NPI 1861595829
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1194155648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022319",
            "telephone_number": "818-755-6500",
            "fax_number": "818-755-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022319",
            "telephone_number": "818-755-6500",
            "fax_number": "818-755-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHROOZ BROUKHIM, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "BROUKHIM",
        "authorized_official_first_name": "BEHROOZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-755-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A30853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A30853",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Becerra
• Beck Home Holding LLC
• Ilita Beckham, LMFT
• Bee-Line Med Express, Inc.
• Arkadi Beglaryan
• Vibiana Bejinez
• Amanda Beker
• Bella Vita Home Health Inc.
• Bella Vita Home Health Inc.
• Bella Vita Hospice, Inc.

• Specialist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.