MEDICARE: DR. ERIC CHAGHOURI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	104204	GA
2	2084P0800X	Psychiatry Physician	47157	OK
3	2084P0800X	Psychiatry Physician	036.161480	IL
4	2084P0800X	Psychiatry Physician	1023473	MA
5	2084P0800X	Psychiatry Physician	ME157962	FL
6	2084P0800X	Psychiatry Physician	A123663	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036.161480	OTHER	IL	LICENSE
2	47157	OTHER	OK	LICENSE
3	ME157962	OTHER	FL	STATE MEDICAL LICENSE
4	1023473	OTHER	MA	LICENSE
5	104204	OTHER	GA	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1932472883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC CHAGHOURI M.D.

Provider Business Mailing Address
First Line	:	10780 SANTA MONICA BLVD STE 105
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-7613
Country	:	US
Telephone Number	:	424-320-4882
Fax Number	:

Provider Business Practice Location Address
First Line	:	10780 SANTA MONICA BLVD STE 105
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-7613
Country	:	US
Telephone Number	:	424-320-4882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	03/05/2026

Similar Medicare Providers

1376578377 — ROBERT B CAMERON MD
Practice Location Address:

10780 SANTA MONICA BLVD STE 100
LOS ANGELES, CA
90025-7613

Practice Phone: 310-470-8980
Practice Fax: 310-470-3742

1871714592 — DR. JUDY ANN METZ PSYD
Practice Location Address:

10780 SANTA MONICA BLVD STE 105
LOS ANGELES, CA
90025-7613

Practice Phone: 424-254-0406
Practice Fax:

1225242613 — DR. ERIC LIFSHITZ M.D.
Practice Location Address:

10780 SANTA MONICA BLVD STE 110
LOS ANGELES, CA
90025-7613

Practice Phone: 310-820-0056
Practice Fax:

1396956876 — MICHELE MUNSON DPT
Practice Location Address:

10780 SANTA MONICA BLVD STE 110
LOS ANGELES, CA
90025-7613

Practice Phone: 310-474-5150
Practice Fax:

1770710501 — BRIAN HURLEY MD, MBA
Practice Location Address:

10780 SANTA MONICA BLVD STE 105
LOS ANGELES, CA
90025-7613

Practice Phone: 310-903-9653
Practice Fax: 310-382-2089

1083939714 — DANIELLE KAYNE-O'GILVIE LMFT
Practice Location Address:

10780 SANTA MONICA BLVD STE 105
LOS ANGELES, CA
90025-7613

Practice Phone: 818-298-7351
Practice Fax:

Directions to “ DR. ERIC CHAGHOURI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.