MEDICARE: IV KICKS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WI0500X	Infusion Therapy Registered Nurse

General Provider Information

NPI Number	:	1689408601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IV KICKS, LLC

Provider Business Mailing Address
First Line	:	1417 STEARNS DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-3915
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6535 WILSHIRE BLVD STE 103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4962
Country	:	US
Telephone Number	:	845-323-2884
Fax Number	:

Authorized Official
Title or Position	:	OWNER, ADMINISTRATOR
Name	:	CHANA LALEHZARI
Credential	:	RN
Telephone Number	:	845-323-2884

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	08/30/2024

Similar Medicare Providers

1275639213 — DR. STEPHEN A. DIAMOND PH.D.
Practice Location Address:

6535 WILSHIRE BLVD STE 106
LOS ANGELES, CA
90048-4962

Practice Phone: 323-651-1118
Practice Fax:

1619657558 — JENNIFER CORNETT
Practice Location Address:

6535 WILSHIRE BLVD STE 115
LOS ANGELES, CA
90048-4962

Practice Phone: 424-235-4448
Practice Fax:

1699624189 — YE DENTAL OFFICE
Practice Location Address:

1702 S HOOVER ST
LOS ANGELES, CA
90006-4962

Practice Phone: 213-383-8275
Practice Fax: 213-205-8415

1124088273 — DR. JAMES MICHAEL LOCONTE DC
Practice Location Address:

4962 EL CAMINO REAL STE 120
LOS ALTOS, CA
94022-1410

Practice Phone: 650-210-8500
Practice Fax: 650-210-8501

1316167869 — MRS. YULIA KISELEV D.C.
Practice Location Address:

4962 EL CAMINO REAL , STE. 204
LOS ALTOS, CA
94022-1454

Practice Phone: 650-210-8981
Practice Fax: 650-210-0070

1518231331 — DR. LIANE RACHEL BACAL M.D.
Practice Location Address:

4962 EL CAMINO REAL , SUITE 103
LOS ALTOS, CA
94022-1454

Practice Phone: 650-319-8577
Practice Fax:

Directions to “IV KICKS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.