Active NPI
Ali Pezhman Pourpezheshege, DC
- Chiropractor
- West Hollywood, CA
National Provider Identifier
1750387478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 28279
- Practice address
- 624 N la Cienega Blvd
West Hollywood, CA 90069-5202 - Phone
- (310) 360-0416
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 28279 | CA | Primary |
Addresses
Primary practice location
624 N la Cienega Blvd
West Hollywood, CA 90069-5202
Mailing address
624 N la Cienega Blvd
West Hollywood, CA 90069-5202
Phone (310) 360-0461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 28279 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1750387478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 N LA CIENEGA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900695202",
"telephone_number": "310-360-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 N LA CIENEGA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900695202",
"telephone_number": "310-360-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURPEZHESHEGE",
"first_name": "ALI",
"middle_name": "PEZHMAN",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 28279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.