Omid Khorram, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

A48465 Issued in CA

Practice address

23550 Hawthorne Blvd
Ste. 210
Torrance, CA 90505-4731

Phone

(310) 378-7445

Fax

(310) 378-7427

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 2)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Fertility Laboratory Inc.

  • Gynecology Physician
  • Torrance, CA
  • NPI 1962619940

  Reproductive Endocrinology

  NPD (past) Authorized official

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720041858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23550 HAWTHORNE BLVD",
            "address_2": "STE. 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054731",
            "telephone_number": "310-378-7445",
            "fax_number": "310-378-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23550 HAWTHORNE BLVD",
            "address_2": "STE. 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054731",
            "telephone_number": "310-378-7445",
            "fax_number": "310-378-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORRAM",
        "first_name": "OMID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A48465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A484650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mehrbanoo Khezrizardoshti
• Anna Ilinichna Khijniak, M.D.
• Michelle Thach Khlok
• Chinicka Khlot
• Amir Sattar Khoiny, M.D.
• Sharareh Sherrie Khoshbin, D.D.S.
• Nour Khouzam, MD
• Mastoora Khwajazada
• Steven G Khwarg, MD
• Kianusch Kiai, MD

• Reproductive Endocrinology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.