Organization
KOHANIM MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOOSA KOHANIM M.D (MEDICAL PRESIDENT)
(310) 219-0890
Entity
Organization
Contact information
Practice address
14516 HAWTHORNE BLVD, LAWNDALE, CA 90260-1519
(310) 219-0890
(310) 219-0297
Mailing address
14516 HAWTHORNE BLVD, LAWNDALE, CA 90260-1519
(310) 219-0890
(310) 219-0297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A60345
CA
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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