Kamran H. Broukhim, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G68940 Issued in CA

Practice address

12629 Riverside Dr
North Hollywood, CA 91607-3488

Phone

(310) 471-5852

NPI assigned

Oct 18, 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

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1891876652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-204-6747",
            "fax_number": "626-396-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12629 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073488",
            "telephone_number": "310-471-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUKHIM",
        "first_name": "KAMRAN",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G68940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G689400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behrouz Broomand, MD
• Brian B. Broomand, PSYD
• Behrooz Broukhim, MD
• Benjamin Broukhim, M.D.
• Blake Johnathan Broukhim, LAC
• Alexis Brown
• Kristopher John Brown
• Patricia M. Brown, OTRL
• Joseph Kyle Broyles
• Thalia Lebogang Bruce

• Anesthesiology Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.