NPIMap

Organization Active NPI

Kohanim Medical Corp.

  • Specialist
  • Lawndale, CA
National Provider Identifier
1275771206
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A60345 Issued in CA
Legal business name
KOHANIM MEDICAL CORP.
Practice address
14516 Hawthorne Blvd
Lawndale, CA 90260-1519
Phone
(310) 219-0890
Fax
(310) 219-0297
NPI assigned
Jan 29, 2009
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Dr. Moosa Kohanim, M.DNPI 1477581239
Title
Medical President
Phone
(310) 219-0890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A60345 CA Primary

Addresses

Primary practice location

14516 Hawthorne Blvd
Lawndale, CA 90260-1519

Mailing address

14516 Hawthorne Blvd
Lawndale, CA 90260-1519
Phone (310) 219-0890

National Provider Directory

National Provider Directory
Tax ID family
Kohanim Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1275771206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14516 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601519",
            "telephone_number": "310-219-0890",
            "fax_number": "310-219-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14516 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601519",
            "telephone_number": "310-219-0890",
            "fax_number": "310-219-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHANIM MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "KOHANIM",
        "authorized_official_first_name": "MOOSA",
        "authorized_official_title_or_position": "MEDICAL PRESIDENT",
        "authorized_official_telephone_number": "310-219-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A60345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.