KEYSHA POURHOSSEINI DO
NPI 1477012730
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Keysha Pourhosseini Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSHA POURHOSSEINI DO (NPI 1477012730) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keysha Pourhosseini Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keysha Pourhosseini's NPI number?
The NPI number for Keysha Pourhosseini is 1477012730. It was assigned to this individual provider in the NPPES registry on March 17, 2019.
Where is Keysha Pourhosseini located?
Keysha Pourhosseini practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (323) 409-5707.
What is Keysha Pourhosseini's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Keysha Pourhosseini enrolled in Medicare?
Yes. Keysha Pourhosseini is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keysha Pourhosseini was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keysha Pourhosseini, DO · NPI 1477012730
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 17, 2019.
## Identity
- **NPI:** 1477012730 (Entity type: Individual)
- **Enumerated:** March 17, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, Los Angeles, CA 90089-1001
- **Phone:** (323) 409-5707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 26, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1477012730) · Data from the CMS NPPES public registry.