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Alisha Desai Kohm

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

2250 Alcazar St, Csc 2200, Los Angeles, CA 90033

PECOS Enrollment

This provider is enrolled in PECOS as ALISHA KOHM.

Based on the most recent information from CMS, provider Alisha Desai Kohm is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1639315708
Provider Type
Individual
Full Name
Kohm, Alisha Desai
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/19/2008
Last Updated
12/1/2021

Contact Information

Practice Location

2250 Alcazar St, Csc 2200, Los Angeles, CA 90033

(323) 442-4001

(323) 442-5555

Mailing Location

2250 Alcazar St, Csc 2200, Los Angeles, CA 90033

(323) 442-4001

(323) 442-5555

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License NOT APPLICABLE California

Alisha Desai Kohm

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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