NPIMap

Organization Active NPI

Kohanim Medical Corporation

  • Specialist
  • Lawndale, CA
National Provider Identifier
1699986570
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A35085 Issued in CA
Legal business name
KOHANIM MEDICAL CORPORATION
Doing business as
Kohanim Medical Corporation
Practice address
14516 Hawthorne Blvd
Lawndale, CA 90260-1519
Phone
(310) 219-0890
Fax
(310) 219-0297
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Mrs. Armida Pratt
Title
Manager
Phone
(310) 219-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A35085 CA Primary

Addresses

Primary practice location

14516 Hawthorne Blvd
Lawndale, CA 90260-1519

Mailing address

14516 Hawthorne Blvd
Lawndale, CA 90260-1519
Phone (310) 219-0890

Other names 1

  • KOHANIM MEDICAL CORPORATION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kohanim Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1699986570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14516 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601519",
            "telephone_number": "310-219-0890",
            "fax_number": "310-219-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14516 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601519",
            "telephone_number": "310-219-0890",
            "fax_number": "310-219-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHANIM MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "ARMIDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-219-0890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A35085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOHANIM MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.