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Contact Information

KOUROSH BEROUKHIM, MD
3828 SCHAUFELE AVE STE 300
LONG BEACH, CA90808-1793
 Phone: 562-997-1144
 Fax: 562-997-9881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KOUROSH BEROUKHIM · (Male)

NPI Number 1063866150
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2016
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A152655
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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