Physician Compare National (NPI:1497770457)

HEALTHCARE PROVIDER: LARRY TEIK-MAN KHOO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497770457
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416007695
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090609000641
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHOO
	Individual professional last name
Provider First Name	LARRY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	LARRY T KHOO MD INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9638223753
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1245 WILSHIRE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 770
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900174881
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2134818500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050471
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050224
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050761
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PROVIDENCE TARZANA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y