Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shahla Kohanzadeh MD Medical Corporation

Organization Primary Care Clinic/Center · NPI 1891086716

Shahla Kohanzadeh MD Medical Corporation is a Primary Care Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

803 S Alvarado St
Los Angeles, CA 90057-4009
Phone: (213) 381-1117
Fax: (213) 381-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence A47964 (CA)

Record details

NPI number1891086716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahla Kohanzadeh — Ceo · (213) 381-1117
NPI enumeratedApril 26, 2011
Last updated in NPPESJuly 14, 2011
Mailing address803 S Alvarado St, Los Angeles, CA 90057-4009

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