DR. AVID KHORRAM (NPI# 1043247497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043247497 |
| Entity Type | Individual |
| Full Name | DR. AVID KHORRAM |
| Credential | PHD |
| Practice Address |
701 Garden View Court 20 Encinitas CA 92024 |
| Practice Telephone | 7606350044 |
| Practice Fax Number | 7606350044 |
| Mailing Telephone | 7606350044 |
| Mailing Fax Number | 7606350044 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14341 | CA | Behavioral Health & Social Service Providers |
| Street Address |
701 GARDEN VIEW COURT 20 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881170165 | William J Dess, Ph.d. Clinical Psychology A Prof Corp. | Psychologist | 741 Garden View Ct., Suite 211, Encinitas, CA 92024-2472 | 2018-07-19 |
| 1093153595 | Reid Kessler | Psychologist | 169 Saxony Rd Ste 211, Encinitas, CA 92024 | 2013-06-06 |
| 1295002178 | Alicia R Baird | Psychologist | 701 Garden View Ct Ste 18, Encinitas, CA 92024-2464 | 2011-11-21 |
| 1780978395 | Stephanie Ann Kann | Psychologist | 533 2nd St # 114, Encinitas, CA 92024-3558 | 2011-06-01 |
| 1871752691 | Patricia Lynn Bale | Psychologist | 374 N Coast Highway 101, Suite F, Encinitas, CA 92024-2542 | 2008-06-06 |
| 1659499804 | Daniel G Munoz | Psychologist | 220 2nd St, Encinitas, CA 92024-3205 | 2007-03-27 |
| 1700918760 | Lavon C Mceveny | Psychologist | 1354 N Coast Highway 101 Ste B, Encinitas, CA 92024-1482 | 2007-03-12 |
| 1154477362 | Bruce Carroll Baxley | Psychologist | 4405 Manchester Ave Ste 206, Encinitas, CA 92024-7902 | 2007-01-28 |
| 1093861437 | Blaise Miguel Riedlinger | Psychologist | 1991 Village Park Way Ste 160, Encinitas, CA 92024-1907 | 2007-01-26 |
| 1275609075 | Bart Body | Psychologist | 348 Avenida De Las Rosas, Encinitas, CA 92024-4716 | 2006-11-27 |
| Find all providers in ENCINITAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.