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Deactivated NPI 1255666434 Deactivated / Inactive NPI Male Practitioner

Dr. Ellis Kooby , DC

Chiropractor • Beverly Hills, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ellis Kooby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2009
NPI Deactivation Date December 07, 2018
Total Practice Duration ~9 Years of Practice (2009 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Ellis Kooby, DC was a registered Chiropractor practicing in Beverly Hills, CA. Throughout an active medical career spanning 9 years, Dr. Kooby provided care at the practice location at 9730 WILSHIRE BLVD until profile deactivation on 2018-12-07.

Practice Location & Contact Primary Location

Practice Address

9730 Wilshire Blvd
Suite 216

Beverly Hills, CA 902122022

Telephone 3107534848
Associated Practice Facility / Clinic
🏢 Kamran Toluie, Md, Inc Facility NPI 1467528075

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Beverly Hills, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
72 Specialists

Practicing in Beverly Hills, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC23753

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1003084120

Doctor of Medicine (M.D.)

Dr. Vivien Zighelboim , PhD

Psychologist - Clinical

NPI 1013137249

Doctor of Philosophy (Ph.D.)

NPI 1013413384

Doctor of Pharmacy (Pharm.D.)

David Sacks , MA, LCSW

Social Worker - Clinical

NPI 1083746044

Master of Arts, Licensed Clinical Social Worker

Alexandre Cerf , LMFT

Marriage & Family Therapist

NPI 1215487681

Licensed Marriage and Family Therapist

Dr. Kamran Toluie , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1346219045

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 07, 2018

Record deactivated on December 07, 2018

NPI Profile Active October 06, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 06, 2009

Registered at 9730 WILSHIRE BLVD, SUITE 216, BEVERLY HILLS, CA 902122022 (Tel: 3107534848)

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Updated Business Mailing Address October 06, 2009

Registered at 9730 WILSHIRE BLVD, SUITE 216, BEVERLY HILLS, CA 902122022 (Tel: 3107534848)

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Provider Name / Credentials Updated October 06, 2009

Recorded as ELLIS KOOBY, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2009

Chiropractor (License #DC23753 in CA)

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Initial NPI Registration & Enumeration October 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255666434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2009
Last Update: October 06, 2009
Deactivation Date: December 07, 2018

Mailing Address

9730 Wilshire Blvd, Suite 216

Beverly Hills, CA 902122022

Phone: 3107534848

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.