Organization Active NPI

IV Kicks, LLC

  • Infusion Therapy Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1689408601
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
IV KICKS, LLC
Practice address
6535 Wilshire Blvd Ste 103
Los Angeles, CA 90048-4962
Phone
(845) 323-2884
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Chana Lalehzari, RN
Title
Owner, Administrator
Phone
(845) 323-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

6535 Wilshire Blvd Ste 103
Los Angeles, CA 90048-4962

Mailing address

1417 Stearns Dr
Los Angeles, CA 90035-3915

National Provider Directory

National Provider Directory

Locations

6535 Wilshire Blvd
Ste 103
Los Angeles, CA 90048
Phone (213) 373-1938

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1689408601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 STEARNS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 WILSHIRE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484962",
            "telephone_number": "845-323-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV KICKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "LALEHZARI",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "845-323-2884",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "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 30, 2024; 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.