Behrouz Broomand, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A043704 Issued in CA

Practice address

6056 Lankershim Blvd
North Hollywood, CA 91606-4806

Phone

(818) 761-2300

Fax

(818) 761-5066

NPI assigned

Oct 2, 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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lankershim Medical Clinic Inc

  • Pediatrics Physician
  • North Hollywood, CA
  • NPI 1528226073
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992898845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064806",
            "telephone_number": "818-761-2300",
            "fax_number": "818-761-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064806",
            "telephone_number": "818-761-2300",
            "fax_number": "818-761-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMAND",
        "first_name": "BEHROUZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A043704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A437040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Briscoe
• Ann Rutledge Britt, MA
• Bridget Brookman
• Dorothy M Brooks, MSPT
• Tami Brooks, M.A.
• Brian B. Broomand, PSYD
• Behrooz Broukhim, MD
• Benjamin Broukhim, M.D.
• Blake Johnathan Broukhim, LAC
• Kamran H. Broukhim, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.