Andre Elie Khoury, D.C.

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

DC13575 Issued in CA

Practice address

15030 Ventura Blvd
Suite # 5
Sherman Oaks, CA 91403-5470

Phone

(818) 784-2278

Fax

(818) 784-2270

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245350396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 VENTURA BLVD",
            "address_2": "SUITE # 5",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035470",
            "telephone_number": "818-784-2278",
            "fax_number": "818-784-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 VENTURA BLVD",
            "address_2": "SUITE # 5",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035470",
            "telephone_number": "818-784-2278",
            "fax_number": "818-784-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "ANDRE",
        "middle_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "DC13575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PIN 0004399228",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "54220DC0135750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramesh Khorsand
• Nazanin Khorsandi
• Shirin Khorsandian
• Laura Khouban, LMFT
• Sourihna Khounphichane
• Javad Kiamehr
• Kidney Center of Sherman Oaks, Inc.
• Emily A Kiedman, PH.D.
• Nadia Gabrielle Kilgore, BCBA
• Audrey Bena Kim, L.A.C

• Radiology Chiropractor in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Radiology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.