Broukhim, Bijan
Broukhim, Bijan is an individual health care provider with primary practice located at 16311 Ventura Blvd Suite 1080, Encino CA 91436-2124. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Broukhim, Bijan can be contacted via phone (818) 501-6775.Contact Information
Primary practice address
16311 Ventura Blvd Suite 1080
Encino CA 91436-2124
Phone: (818) 501-6775
Fax: (818) 501-2723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A29782 | California |
Profile Details
| NPI number | 1376584698 |
|---|---|
| LBN Legal business name | Broukhim, Bijan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376584698 | NPPES |
| California | MEDICAID | 00A297820 |
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