Active NPI
Kamran Broukhim, MD, PC
- Family Medicine Physician
- Tarzana, CA
National Provider Identifier
1871235085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.