Healthcare Provider Details

I. General information

NPI: 1427963537
Provider Name (Legal Business Name): AMIT KOCHHAR MD, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 WILSHIRE BLVD STE 600
LOS ANGELES CA
90025-1021
US

IV. Provider business mailing address

1967 MICHELTORENA ST
LOS ANGELES CA
90039-3548
US

V. Phone/Fax

Practice location:
  • Phone: 310-295-6422
  • Fax:
Mailing address:
  • Phone: 305-710-1130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMIT KOCHHAR
Title or Position: OWNER
Credential: MD
Phone: 305-710-1130