Organization Active NPI

Borzouyeh Poursharif MD Inc

  • Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1477100220
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
BORZOUYEH POURSHARIF MD INC
Practice address
1513 S Grand Ave Ste 300
Los Angeles, CA 90015-3075
Phone
(213) 262-1400
Fax
(213) 262-1414
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Borzouyeh Poursharif, MD
Title
President
Phone
(310) 975-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1513 S Grand Ave Ste 300
Los Angeles, CA 90015-3075

Mailing address

1513 S Grand Ave Ste 300
Los Angeles, CA 90015-3075
Phone (213) 262-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1477100220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153075",
            "telephone_number": "213-262-1400",
            "fax_number": "213-262-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153075",
            "telephone_number": "213-262-1400",
            "fax_number": "213-262-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORZOUYEH POURSHARIF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "POURSHARIF",
        "authorized_official_first_name": "BORZOUYEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-975-5575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 26, 2019; 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.