Active NPI
IV Kicks, LLC
- Infusion Therapy Registered Nurse
- Los Angeles, CA
National Provider Identifier
1689408601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 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 DirectoryLocations
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.