AVA KHOSRAVIANI (NPI# 1578717401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578717401 |
| Entity Type | Individual |
| Full Name | AVA KHOSRAVIANI |
| Credential | M.D. |
| Practice Address |
191 S Buena Vista St Suite 475 Burbank CA 91505-4554 |
| Mailing Address |
8950 W Olympic Blvd Suite 171 Beverly Hills CA 90211-3561 |
| Practice Telephone | 8188428000 |
| Practice Fax Number | 8188423208 |
| Mailing Telephone | 8188428000 |
| Mailing Fax Number | 8188423208 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2015-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 248462 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
191 S BUENA VISTA ST SUITE 475 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123474 | Kenneth Ballan | Internal Medicine | 191 S Buena Vista St, Ste. 215, Burbank, CA 91505-4554 | 2005-06-01 |
| 1114467255 | Ann Grosch | Audiologist-Hearing Aid Fitter | 191 S Buena Vista St, Suite 320-a, Burbank, CA 91505-4554 | 2017-03-07 |
| 1912443490 | Genesis Functional Restoration Clinic Inc | Family Medicine | 191 S Buena Vista St, 335, Burbank, CA 91505-4554 | 2017-01-09 |
| 1902342496 | Genesis Occupational Medical Clinic Inc | Family Medicine | 191 S Buena Vista St, 335, Burbank, CA 91505-4554 | 2017-01-09 |
| 1750763041 | Stetson Powell Orthopedics and Sports Medicine | Specialist | 191 S Buena Vista St, Suite 470, Burbank, CA 91505-4554 | 2015-06-23 |
| 1124407119 | Hesam Hekmatjou | Family Medicine | 191 S Buena Vista St, Suite 100, Burbank, CA 91505-4554 | 2015-05-22 |
| 1942690136 | Christopher S. Lee, Md, Mba, Inc. | Specialist | 191 S Buena Vista St, Suite 470, Burbank, CA 91505-4554 | 2015-01-27 |
| 1285036640 | Petros Hajian | Family Medicine | 191 S Buena Vista St, Suite 220, Burbank, CA 91505-4554 | 2014-09-17 |
| 1639579105 | Armine Ghazaryan Md Inc | Obstetrics & Gynecology | 191 S Buena Vista St, Suite 300, Burbank, CA 91505-4554 | 2014-09-03 |
| 1326478777 | Leslie Korostoff Md A Professional Corporation | Obstetrics & Gynecology | 191 S Buena Vista St, Suite 340, Burbank, CA 91505-4554 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366418931 | Azita Simoni | Dermatology | 2720 W Magnolia Blvd Ste 100, Burbank, CA 91505-3034 | 2006-02-24 |
| 1639155880 | Jeffrey L Ashley | Dermatology | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2005-12-20 |
| 1649274994 | John U Buchman | Dermatology | 2601 W Alameda Ave, Ste 111, Burbank, CA 91505-4810 | 2005-06-01 |
| 1932621802 | Kay Dermatology Inc | Dermatology | 201 S Buena Vista St Ste 420, Burbank, CA 91505-4571 | 2017-07-12 |
| 1699216333 | Amir Larian Md Inc | Dermatology | 1624 W Olive Ave, Suite B, Burbank, CA 91506-2459 | 2017-03-14 |
| 1326435454 | Elizabeth Yim | Dermatology | 2625 W Alameda Ave Ste 404, Burbank, CA 91505 | 2015-04-15 |
| 1194138511 | Karin Eshagh | Dermatology | 2625 W Alameda Ave Ste 404, Burbank, CA 91505-4817 | 2014-06-03 |
| 1306103064 | Kyle Cheng | Dermatology | 2625 W Alameda Ave Ste 404, Burbank, CA 91505-4817 | 2012-04-19 |
| 1073751129 | Skin and Beauty Center Inc | Dermatology | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2009-01-28 |
| 1447495031 | Rachel Deena Bak | Dermatology | 201 S Buena Vista St, Ste. 420, Burbank, CA 91505-4571 | 2008-12-10 |
| Find all providers in BURBANK | ||||
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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.