Individual
SOM KOHANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 N ROBERTSON BLVD STE 106, BEVERLY HILLS, CA 90211-1767
(310) 919-4179
(818) 643-4255
Mailing address
9663 SANTA MONICA BLVD # 1151, BEVERLY HILLS, CA 90210-4303
(310) 919-4179
(818) 643-4255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A95627
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A95627
CA
Other
Enumeration date
04/16/2008
Last updated
07/06/2020
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