Active NPI
Khaldoun S. Sroujieh, MD, Inc
- Cardiovascular Disease Physician
- Los Angeles, CA
National Provider Identifier
1467544742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- KHALDOUN S. SROUJIEH, MD, INC
- Practice address
- 1300 North Vermont Avenue
Suite 401
Los Angeles, CA 90027-6005 - Phone
- (323) 664-6535
- Fax
- (323) 664-2964
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khaldoun S. Sroujieh, M.D.
- Title
- President
- Phone
- (323) 664-6535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1300 North Vermont Avenue
Suite 401
Los Angeles, CA 90027-6005
Mailing address
1300 North Vermont Avenue
Suite 401
Los Angeles, CA 90027-6005
Phone (323) 664-6535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A335080 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 N Vermont Ave
Ste 409
Los Angeles, CA 90027
Phone (323) 664-6535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1396828844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1467544742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 NORTH VERMONT AVENUE",
"address_2": "SUITE 401",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-664-6535",
"fax_number": "323-664-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 NORTH VERMONT AVENUE",
"address_2": "SUITE 401",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-664-6535",
"fax_number": "323-664-2964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHALDOUN S. SROUJIEH, MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A",
"authorized_official_last_name": "SROUJIEH",
"authorized_official_first_name": "KHALDOUN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-664-6535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A335080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.