Broukhim, Sepehr
Broukhim, Sepehr is an sole proprietor health care provider with primary practice located at 15233 Ventura Blvd Ste 1108, Sherman Oaks CA 91403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Broukhim, Sepehr can be contacted via phone (818) 590-2646.Contact Information
Primary practice address
15233 Ventura Blvd Ste 1108
Sherman Oaks CA 91403
Phone: (818) 590-2646
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20A9307 | California |
Profile Details
NPI number | 1174715965 |
---|---|
LBN Legal business name | Broukhim, Sepehr |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 15th, 2007 |
Last updated | Aug 11th, 2011 - about 13 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 | 1174715965 | NPPES |
California | MEDICAID | 020A93070 |
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