KEVIN KEON MAHMOUDI
NPI 1679159479
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Kevin Keon Mahmoudi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN KEON MAHMOUDI (NPI 1679159479) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2021. He 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)
Kevin Keon Mahmoudi 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 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Kevin Mahmoudi's NPI number?
The NPI number for Kevin Mahmoudi is 1679159479. It was assigned to this individual provider in the NPPES registry on March 22, 2021.
Where is Kevin Mahmoudi located?
Kevin Mahmoudi practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9111.
What is Kevin Mahmoudi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kevin Mahmoudi enrolled in Medicare?
Yes. Kevin Mahmoudi is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kevin Mahmoudi was last updated on July 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kevin Keon Mahmoudi · NPI 1679159479
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1679159479 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-1101
- **Phone:** (310) 825-9111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679159479) · Data from the CMS NPPES public registry.