Dr Kamran Broukhim, MD | |
19228 Ventura Blvd, # D, Tarzana, CA 91356-3101 | |
(818) 693-3655 | |
(818) 999-1790 |
Full Name | Dr Kamran Broukhim |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 19228 Ventura Blvd, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619060456 | NPI | - | NPPES |
00A388570 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A38857 (California) | Primary |
Entity Name | Kamran Broukhim, Md, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871235085 PECOS PAC ID: 6103203708 Enrollment ID: O20220520001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Kamran Broukhim, MD 19228 Ventura Blvd, # D, Tarzana, CA 91356-3101 Ph: (818) 693-3655 | Dr Kamran Broukhim, MD 19228 Ventura Blvd, # D, Tarzana, CA 91356-3101 Ph: (818) 693-3655 |
Hibaa Ounis, Family Medicine Medicare: Medicare Enrolled Practice Location: 18133 Ventura Blvd, Tarzana, CA 91356 Phone: 424-314-7780 | |
Dr. Naira Ludwigovna Manukian, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 310-423-5252 Fax: 310-423-8441 | |
Dr. Terry E Stanger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St, Suite 202, Tarzana, CA 91356 Phone: 818-881-3435 Fax: 818-881-9021 | |
Ashley Duzik, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18607 Ventura Blvd, Tarzana, CA 91356 Phone: 818-600-1472 | |
Dr. Jonathan Allen Koretoff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18411 Clark St Ste 302, Tarzana, CA 91356 Phone: 818-501-7276 | |
Dr. Armin Shlomy Arasheben, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18607 Ventura Blvd Ste 102, Tarzana, CA 91356 Phone: 818-600-1472 Fax: 818-600-1494 |