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General NPI Number Information
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NPI Number | 1740194745
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Entity Type | Organization
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Legal Business Name | KOROSH BORHANI D.O., PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 11014 MONOGRAM AVE
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5216
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Country | US
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Telephone | 747-367-0241
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Fax |
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Provider Business Mailing Address
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Address Line | 22287 MULHOLLAND HWY # 370
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City | CALABASAS
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State | CA
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Zip | 91302-5157
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KOROSH BORHANI
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Credential | DO
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Telephone | 818-900-2959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NULL
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