LOS ANGELES EECP CENTER – NPI #1114428372
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

LOS ANGELES EECP CENTER is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1114428372 to LOS ANGELES EECP CENTER on February 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LOS ANGELES EECP CENTER” is a dba name, the actual legal business name for this organization is M CHEGOUNCHI MD INC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 6 years ago on Jun 25, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOS ANGELES EECP CENTER below.

NPI Profile for
M CHEGOUNCHI MD INC

NPI Number
1114428372
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
M CHEGOUNCHI MD INC
Doing Business As (dba): LOS ANGELES EECP CENTER
Other name(s)
All associated names:
Doing Business As (dba)
Brentwood EECP Center
Doing Business As (dba)
Los Angeles EECP Center
Primary location
11860 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90025-6606
Phone: (310) 473-3030 Fax: (310) 473-4848
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARJAN CHEGOUNCHI
PRESIDENT
Phone: (310) 473-3030
Updated
Certification Date
Jun 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 CA A80479

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.