Active NPI
Elham Mizani Hrymoc, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1619095973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A97930
- Practice address
- 8631 W 3Rd St Ste 920
Los Angeles, CA 90048-5919 - Phone
- (310) 601-9999
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A97930 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St Ste 920
Los Angeles, CA 90048-5919
Mailing address
8631 W 3Rd St Ste 920
Los Angeles, CA 90048-5919
Phone (310) 601-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2022 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1619095973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 W 3RD ST STE 920",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485919",
"telephone_number": "310-601-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST STE 920",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485919",
"telephone_number": "310-601-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRYMOC",
"first_name": "ELHAM",
"middle_name": "MIZANI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A97930",
"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 Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.