Som K Plastic Surgery PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A95627 Issued in CA

Legal business name

SOM K PLASTIC SURGERY PC

Practice address

8635 W 3Rd St
Suite 880W
Los Angeles, CA 90048-6101

Phone

(424) 239-9743

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Som Kohanzadeh, MDNPI 1952575342

Title

President

Phone

(424) 239-9743

Specialties & licenses 1

Addresses

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.

• Som Kohanzadeh, MD

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1952575342
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1457764276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 880W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "424-239-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 880W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "424-239-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOM K PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "KOHANZADEH",
        "authorized_official_first_name": "SOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-239-9743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A95627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Teresa Soltero
• Miguel Angel Soltero, LCSW
• Solution Medcal Foundation
• Solution Room Therapy
• Ryan Eli Solymani, MD
• Sovanmony Som
• Soma Therapy Clinic
• Keerthan Somanath, M.D.
• Jenna Nicole Somasundaram, DPT
• Orit Somekhian, L.AC.

• Plastic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.