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KOUROSH BEROUKHIM M.D. NPI 1063866150


NPI Information

NPI: 1063866150
Provider Name: KOUROSH BEROUKHIM, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
10800 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505
Phone: (310) 272-6025
Get Directions

Kourosh Beroukhim, M.D. is a mohs-micrographic surgery dermatology in Riverside, CA with 8 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Kourosh Beroukhim, M.D. NPI is 1063866150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

10800 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505-043
Phone: (310) 272-6025

The NPI 1063866150 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 12/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyA152655CALIFORNIANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryA152655CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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