Individual provider Active NPI

Elham Mahoozi

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1912403486
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17298 Issued in CA
Practice address
1377 S Beverly Glen Blvd Apt 508
Los Angeles, CA 90024-5241
Phone
(310) 739-0539
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17298 CA Primary

Addresses

Primary practice location

1377 S Beverly Glen Blvd Apt 508
Los Angeles, CA 90024-5241

Mailing address

1377 S Beverly Glen Blvd Apt 508
Los Angeles, CA 90024-5241
Phone (310) 739-0539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17298CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1912403486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 S BEVERLY GLEN BLVD APT 508",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245241",
            "telephone_number": "310-739-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 S BEVERLY GLEN BLVD APT 508",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245241",
            "telephone_number": "310-739-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOOZI",
        "first_name": "ELHAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.