Mortazavi, Behnoush

Mortazavi, Behnoush is an individual health care provider with primary practice located at 400 W 30Th St , Los Angeles CA 90007-3320. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Mortazavi, Behnoush can be contacted via phone (213) 284-3200.

Contact Information

Primary practice address
400 W 30Th St Los Angeles CA 90007-3320
Phone: (213) 284-3200
Fax: (213) 284-3352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 001263 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202470 California
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 20470 California

Profile Details

NPI number 1114226628
LBN Legal business name Mortazavi, Behnoush
Credentials NP-C, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Oct 22nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114226628 NPPES
California Other 20470 NP LICENSE

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