DR. PEYMAN BENHARASH MD NPI 1003000639

Surgery in Los Angeles, CA

About PEYMAN BENHARASH

Peyman Benharash is a provider in Los Angeles, CA with more than 16 years of experience. The NPI number assigned to this provider is 1003000639. The practitioner's primary taxonomy code is Surgery (208600000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Peyman Benharash is registered with Medicare and accepts claims assignment.

NPI

1003000639

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. PEYMAN BENHARASH MD
Provider Location AddressUCLA CARDIOTHORACIC SURGERY 10833 LECONTE AVE 62-182 CHS LOS ANGELES, CA 90095 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5767 W CENTURY BLVD SUITE 400 LOS ANGELES, CA 90045 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-27-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-22-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. PEYMAN BENHARASH MD
UCLA CARDIOTHORACIC SURGERY 10833 LECONTE AVE
62-182 CHS
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-9820
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Mailing Address

DR. PEYMAN BENHARASH MD
5767 W CENTURY BLVD
SUITE 400
LOS ANGELES, CA
ZIP 90045
Phone: (310) 825-9820

Primary Taxonomy

Taxonomy Code208600000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.A85379
License StateCA
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
DS092ZMEDICARE PIN (08)CA
00A853790MEDICAID (05)CA

Map Location


DR. PEYMAN BENHARASH MD address is UCLA CARDIOTHORACIC SURGERY 10833 LECONTE AVE 62-182 CHS LOS ANGELES, CA 90095