SHAHLA KOHANZADEH MD MEDICAL CORPORATION
NPI 1891086716
Clinic/Center - Primary Care in Los Angeles, CA

Active since April 26, 2011
803 S ALVARADO ST, LOS ANGELES, CA 90057(213) 381-1117(213) 381-5903 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shahla Kohanzadeh Md Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHLA KOHANZADEH MD MEDICAL CORPORATION (NPI 1891086716) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since April 2011. The organization lists Shahla Kohanzadeh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891086716
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHAHLA KOHANZADEH MD MEDICAL CORPORATION
Location Address803 S ALVARADO STLos Angeles, CA 90057-4009
Mailing Address803 S Alvarado StLos Angeles, CA 90057-4009 · (213) 381-1117 · Fax (213) 381-5903
Fax(213) 381-5903
Organization SubpartNo
Authorized OfficialShahla KohanzadehCeo · (213) 381-1117
Enumeration DateApril 26, 2011
Last NPPES UpdateJuly 14, 2011
NPI 1891086716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · A47964
803 S ALVARADO ST, Los Angeles, CA 90057

Other Identifiers 1

MedicaidA479640CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
803 S ALVARADO ST
LOS ANGELES, CA 90057

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 Shahla Kohanzadeh MD Medical Corporation's NPI number?

The NPI number for Shahla Kohanzadeh MD Medical Corporation is 1891086716. It was assigned to this organization in the NPPES registry on April 26, 2011.

Where is Shahla Kohanzadeh MD Medical Corporation located?

Shahla Kohanzadeh MD Medical Corporation is located at 803 S Alvarado St, Los Angeles, CA 90057. The listed phone number is (213) 381-1117.

What is Shahla Kohanzadeh MD Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shahla Kohanzadeh MD Medical Corporation was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.