Monzer Kaddour MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C53238 Issued in CA

Legal business name

MONZER KADDOUR MD INC

Practice address

19528 Ventura Blvd
468
Tarzana, CA 91356-2917

Phone

(661) 287-3162

Fax

(661) 287-3951

NPI assigned

Nov 19, 2014

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monzer Kaddour, MD

Title

Ceo

Phone

(312) 451-4308

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1942607932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19528 VENTURA BLVD",
            "address_2": "468",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562917",
            "telephone_number": "661-287-3162",
            "fax_number": "661-287-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19528 VENTURA BLVD",
            "address_2": "468",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562917",
            "telephone_number": "661-287-3162",
            "fax_number": "661-287-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONZER KADDOUR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "KADDOUR",
        "authorized_official_first_name": "MONZER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-451-4308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C53238",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "C53238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Montazeri, MA, LMFT
• Melody Ruth Montenegro
• Sheyla Alexia Monterroso
• Gilbert Montes
• Lori Deborah Montgomery, D.P.T.
• Alexis Moore
• Brianna Moore
• Henry Moore III, MA, BCBA
• Latonia R Moore
• Lindsay Grace Moore, M.S. CF-SLP

• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.