KIANOUSH SHAKIB MD INC


Address: 11661 San Vicente Blvd Ste 101, Los Angeles, CA 90049-5150
Phone: 3103121231

KIANOUSH SHAKIB MD INC (NPI# 1205309341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205309341
Entity Type Organization
Organization Name KIANOUSH SHAKIB MD INC
Practice Address 11661 San Vicente Blvd Ste 101
Los Angeles
CA 90049-5150
Practice Telephone 3103121231
Mailing Telephone 3103121231
Enumeration Date 2019-01-10
Last Update Date 2019-01-10
Authorized Official Name DR. KIANOUSH SHAKIB (PRESIDENT)
Authorized Official Telephone 9176697949
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
Allopathic & Osteopathic Physicians

Office Location

Street Address 11661 SAN VICENTE BLVD STE 101
City LOS ANGELES
State CA
Zip Code 90049-5150

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1972090710 Community Reflections Inc Counselor 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 2018-04-17
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1295240679 Robert A Brooks Preventive Medicine 149 South Barrington Ave, #346, Los Angeles, CA 90049 2017-12-07
1598286478 Marvin S Serrano Physical Therapy Assistant 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 2017-06-30
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Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407153000 Howard Eric Strom Internal Medicine 3411 La Falda Pl, Los Angeles, CA 90068-1509 2011-02-16
1700045150 Edward Kung Hu Internal Medicine 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033-5310 2008-06-02
1982763116 Robert F Meth Md A Medical Corporation Internal Medicine 2080 Century Park East, Ste 810, Los Angeles, CA 90067 2006-12-06
1174543318 Andrew Saxon Internal Medicine 200 Medical Plaza, #365,530,420,120, Los Angeles, CA 90095 2006-07-20
1023037702 Andre Elias Nel Internal Medicine 200 Medical Plaza, #365,530,420,120, Los Angeles, CA 90095 2006-07-19
1265451165 William Berner Klaustermeyer Internal Medicine 200 Medical Plaza, #365,420,530,120, Los Angeles, CA 90095 2006-07-19
1841242948 Abraham Ishaaya, M.d. A Professional Corporation Internal Medicine 5901 W Olympic Blvd, Ste 200, Los Angeles, CA 90036 2006-05-17
1912959925 Abraham M Ishaaya Internal Medicine 5901 W Olympic Blvd, Ste 200, Los Angeles, CA 90036-4663 2006-05-17
1053387837 Robert F Meth Internal Medicine 2080 Century Park E, Los Angeles, CA 90067 2006-02-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629510235 Lawrence Awai Internal Medicine 4776 Stetson Rd, Clovis, CA 93619-9555 2016-11-14
1619363314 Aminaa Siddiqi Internal Medicine 2440 W Covell Blvd Ste 104, Davis, CA 95616-5671 2015-04-09
1881082683 Ricardo Antonio Tan Md Inc. Internal Medicine 5219 Cedros Ave, Sherman Oaks, CA 91411-4016 2014-12-31
1811315781 Trisha Sharma Internal Medicine 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 2014-03-28
1609202274 George Richard Barr Internal Medicine 225 Crossroads Blvd # 381, Carmel, CA 93923-8674 2013-09-16
1184069692 Tyler Basen Internal Medicine 26691 Plaza Ste 170, Mission Viejo, CA 92691-6396 2013-05-10
1528403797 Warner C. Greene Internal Medicine 1650 Owens St, San Francisco, CA 94158-2261 2013-05-01
1598893794 Rakesh Jindal M.d. Inc Internal Medicine 462 W Putnam Ave, Porterville, CA 93257-3321 2007-03-01
1588792048 Michael T Mosher M.d A Medical Corporation Internal Medicine 415 Rolling Oaks Dr Ste 280, Thousand Oaks, CA 91361-1049 2007-02-28
1639221617 Richard Paul Dhanes Internal Medicine 1240 S Westlake Blvd Ste 113, Westlake Village, CA 91361-1977 2007-01-18
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Competitor

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City LOS ANGELES
Zip Code 90049

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Dataset Information

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.

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