Deeba Kohi, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

58774 Issued in CA

Practice address

9301 Wilshire Blvd Ste 404
Beverly Hills, CA 90210-6137

Phone

(310) 278-9171

NPI assigned

Apr 8, 2021

Last updated

Apr 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1477133015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106137",
            "telephone_number": "310-278-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHI",
        "first_name": "DEEBA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "58774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Koh, OD
• Guity Kohan-Zakay, RPH
• Emil Kohan, MD
• Som Kohanzadeh, MD
• Yoram Kohanzadeh, D.D.S.
• Matthew Blake Kollefrath, M.D.
• Celia Kong, PA-C
• Dianne Kong
• Peter L Kopelson, MD
• Lawrence Mark Koplin, M.D.,F.A.C.S

• Medical Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.