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General NPI Number Information
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NPI Number | 1023459302
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Entity Type | Individual
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Provider Name | KOOROSH J ELIHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 315 N DOHENY DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1621
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Country | US
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Telephone | 213-340-6505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15742
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-1742
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Country | US
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Telephone | 310-497-1300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A133689
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License Number State | CA
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