Kourosh Beroukhim
Dermatologist MOHS-Micrographic Surgeon
10800 Magnolia Ave
Riverside
, California 92505-3043
Kourosh Beroukhim
Dermatologist MOHS-Micrographic Surgeon
10800 Magnolia Ave
Riverside
, California 92505-3043
(310) 272-6025
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Kourosh Beroukhim
- 10800 Magnolia Ave
- Riverside, CA
- Zip : 92505-3043
- Phone : (310) 272-6025
Second Address
- Kourosh Beroukhim
- 10800 Magnolia Ave
- Riverside, CA
- Zip : 92505-3043
- Phone : (310) 272-6025
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | A152655 | CA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | A152655 | CA |
National Provider Identifier
| NPI | 1063866150 |
|---|---|
| Provider Name | Kourosh Beroukhim |
| First Address | Riverside, CA 92505-3043 |
| Second Address | Riverside, CA 92505-3043 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2016 |
| Last Update Date | 08/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.