Individual
DR. POOYA I. BOKHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD STE 220, SANTA MONICA, CA 90404-2124
(310) 582-6220
(310) 582-6222
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111524
CA
207RC0000X
Cardiovascular Disease Physician
A111524
CA
207RI0011X
Interventional Cardiology Physician
Primary
A111524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760634315
—
CA
Enumeration date
10/15/2008
Last updated
01/07/2020
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