Healthcare Provider Details

I. General information

NPI: 1487563813
Provider Name (Legal Business Name): MYGOOD MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S LA CIENEGA BLVD STE 402
BEVERLY HILLS CA
90211-3316
US

IV. Provider business mailing address

240 S LA CIENEGA BLVD STE 402
BEVERLY HILLS CA
90211-3316
US

V. Phone/Fax

Practice location:
  • Phone: 424-777-7880
  • Fax: 424-777-7879
Mailing address:
  • Phone: 424-777-7880
  • Fax: 424-777-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: GURMANDER S KOHLI
Title or Position: CEO
Credential: MD
Phone: 424-777-7880