Organization Active NPI

Kamran Broukhim, MD, PC

  • Family Medicine Physician
  • Tarzana, CA
National Provider Identifier
1871235085
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KAMRAN BROUKHIM, MD, PC
Practice address
19228 Ventura Blvd Unit D
Tarzana, CA 91356-3101
Phone
(818) 875-0750
Fax
(818) 578-8616
NPI assigned
Apr 8, 2022
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Kamran Broukhim, MD
Title
President, Medical Director
Phone
(818) 693-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

19228 Ventura Blvd Unit D
Tarzana, CA 91356-3101

Mailing address

19228 Ventura Blvd Unit D
Tarzana, CA 91356-3101
Phone (818) 875-0750

National Provider Directory

National Provider Directory

Locations

19228 Ventura Blvd
Unit D
Tarzana, CA 91356
Phone (818) 875-0750

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1871235085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD UNIT D",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-875-0750",
            "fax_number": "818-578-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD UNIT D",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-875-0750",
            "fax_number": "818-578-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN BROUKHIM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "BROUKHIM",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-693-3655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.