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Organization
SHAHROKH KOHANIM A PROFESSIONAL CORPORATION
Active
Organization
SHAHROKH KOHANIM A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROKH KOHANIM (PRESIDENT)
(323) 913-4892
Entity
Organization
Contact information
Practice address
8491 W SUNSET BLVD, #105, WEST HOLLYWOOD, CA 90069-1911
(323) 913-4892
Mailing address
PO BOX 661748, ARCADIA, CA 91066-1748
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX72270
—
CA
Enumeration date
06/18/2006
Last updated
06/27/2014
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