Bijan Broukhim, MD, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF315352 Issued in CA

Legal business name

BIJAN BROUKHIM, MD, INC

Practice address

16311 Ventura Blvd
Suite 925
Encino, CA 91436-2124

Phone

(818) 501-6775

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Bijan Broukhim, M.D.

Title

Medical Director

Phone

(818) 501-6775

Specialties & licenses 1

Addresses

Other names 1

• INSTITUTE FOR WOMEN'S HEALTH LABORATORY Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bijan Broukhim MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bijan Broukhim, MD, Inc

  • Specialist
  • Encino, CA
  • NPI 1578711818
  NPD tax ID
• Bijan Broukhim, MD, Inc.

  • Specialist
  • Encino, CA
  • NPI 1144340647
  NPD tax ID

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386764744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 1080",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-501-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 925",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-501-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJAN BROUKHIM, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUKHIM",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-501-6775",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF315352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSTITUTE FOR WOMEN'S HEALTH LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Rose Bickelman, M.S., B.C.B.A.
• Philip Biderman, M.D.
• Harrison Gray Bieker
• Jonine Biesman, PSY,D. ABPDN
• Big Wave Psychology Inc
• Bijan Broukhim, MD, Inc
• Bijan Broukhim, MD, Inc.
• Bijan Farah MD Inc
• Betty Bildner, SLP
• Reba K Bindra, M.D.

• Clinical Medical Laboratory in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.