Individual
DR. KAMRAN KOOCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4910 VAN NUYS BLVD, STE 108, SHERMAN OAKS, CA 91403-1757
(818) 986-4211
(818) 986-4215
Mailing address
4910 VAN NUYS BLVD, STE 108, SHERMAN OAKS, CA 91403-1757
(818) 986-4211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A77834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A778340
BLUE SHIELD
CA
05
—
00A778340
—
CA
Enumeration date
06/08/2006
Last updated
09/22/2020
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