| Sid Kohan MD Incorporated | |
|
821 N Bundy Dr Los Angeles CA 90049-1506 | |
| (818) 618-9930 | |
| Not Available |
| Full Name | Sid Kohan MD Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 821 N Bundy Dr, Los Angeles, California |
| Authorized Official Name and Position | Sid Kohan (AUTHORIZED OFFICAL/ OWNER) |
| Authorized Official Contact | 8186189930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sid Kohan MD Incorporated 821 N Bundy Dr Los Angeles CA 90049-1506 Ph: (818) 618-9930 | Sid Kohan MD Incorporated 821 N Bundy Dr Los Angeles CA 90049-1506 Ph: (818) 618-9930 |
| NPI Number | 1194599860 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194599860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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