Organization Active NPI

Kourosh Harounian DPM Inc

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1710013016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4362 Issued in CA
Legal business name
KOUROSH HAROUNIAN DPM INC
Practice address
1832 W 7TH St
Los Angeles, CA 90057-4102
Phone
(213) 484-0040
Fax
(121) 348-4010
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kourosh Harounian, DPMNPI 1730269655
Title
Ceo
Phone
(213) 484-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4362 CA Primary

Addresses

Primary practice location

1832 W 7TH St
Los Angeles, CA 90057-4102

Mailing address

1832 W 7TH St
Los Angeles, CA 90057-4102
Phone (213) 484-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000272 CA Part B Supplier - Clinic/Group Practice 1658478847 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1832 W 7th St
Los Angeles, CA 90057
Phone (213) 484-0040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710013016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574102",
            "telephone_number": "213-484-0040",
            "fax_number": "121-348-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574102",
            "telephone_number": "213-484-0040",
            "fax_number": "121-348-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH HAROUNIAN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAROUNIAN",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "12134840040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4362",
            "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.