Provider Demographics
NPI:1386725158
Name:KOHANIM, RENEE A (DC)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:A
Last Name:KOHANIM
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 WESTWOOD BLVD # 349
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2109
Mailing Address - Country:US
Mailing Address - Phone:310-801-0009
Mailing Address - Fax:
Practice Address - Street 1:3440 WILSHIRE BLVD STE 1205
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2127
Practice Address - Country:US
Practice Address - Phone:213-480-3190
Practice Address - Fax:213-480-3188
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA263052157111NX0100X
CADC 27469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty