MRS. BEHNOUSH MORTAZAVI NP-C MSN NPI 1114226628

NPI Information

NPI: 1114226628
Provider Name: MRS. BEHNOUSH MORTAZAVI, NP-C, MSN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
400 W 30TH ST
LOS ANGELES, CA
ZIP 90007
Phone: (213) 284-3200
Get Directions

MRS. Behnoush Mortazavi, NP-C, MSN is a women's health nurse practitioner in Los Angeles, CA. MRS. Behnoush Mortazavi, NP-C, MSN NPI is 1114226628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 W 30TH ST
LOS ANGELES, CA
ZIP 90007-320
Phone: (213) 284-3200
Fax: (213) 284-3352

The enumeration date for this NPI number is 3/23/2011 and was last updated on 10/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	202470	CALIFORNIA	No
2	363LW0102X	Nurse Practitioner	Women's Health	20470	CALIFORNIA	Yes
3	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	001263	NEVADA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20470	OTHER	CALIFORNIA	NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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