Shahla Kohanzadeh, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A47964 Issued in CA

Practice address

803 S Alvarado St
Los Angeles, CA 90057-4009

Phone

(213) 381-1117

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Doctor of Medicine

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649338914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N ARDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103508",
            "telephone_number": "310-550-8384",
            "fax_number": "213-381-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574009",
            "telephone_number": "213-381-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANZADEH",
        "first_name": "SHAHLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A47964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Kohanpour
• Aida Kohanteb
• Arash Kohanteb, M.D
• Paul A. Kohanteb, MD
• Talya Yocheved Kohanteb, PA-C
• Davina Koharsinay
• Laura Kohberger, PH.D.
• Celia Ludivine Kohler
• Donovan Joseph Kohler, MD
• Ellen Kohler, PT, OCS

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.