Basic Information
| Provider Information | |||||||||
| NPI: | 1669606844 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMIR VOKSHOOR MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 122 SHELDON ST | ||||||||
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| City: | EL SEGUNDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902453915 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7301 MEDICAL CENTER DR | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | WEST HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913071904 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188800972 | ||||||||
| FaxNumber: | 8188800203 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2009 | ||||||||
| LastUpdateDate: | 05/04/2009 | ||||||||
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| AuthorizedOfficialLastName: | VOKSHOOR | ||||||||
| AuthorizedOfficialFirstName: | AMIR | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3103224278 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | A78293 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.