Basic Information
| Provider Information | |||||||||
| NPI: | 1649204983 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VOKSHOOR | ||||||||
| FirstName: | AMIR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | VOKSHOOR | ||||||||
| OtherFirstName: | AMIR | ||||||||
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| OtherCredential: | MD MED CORP | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3548 STONEWOOD DR | ||||||||
| Address2: | |||||||||
| City: | SHERMAN OAKS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914035007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105740400 | ||||||||
| FaxNumber: | 3105740485 | ||||||||
| Practice Location | |||||||||
| Address1: | 2811 WILSHIRE BLVD STE 850 | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 0088990101 | ||||||||
| FaxNumber: | 3108708677 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 08/31/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | A78293 | CA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.