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MEDHAT MANSOUR M.D. NPI 1215064142


NPI Information

NPI: 1215064142
Provider Name: MEDHAT MANSOUR, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
2105 BEVERLY BLVD
SUITE 207
LOS ANGELES, CA
ZIP 90057
Phone: (213) 483-1007
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Medhat Mansour, M.D. is an urology in Los Angeles, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Medhat Mansour, M.D. NPI is 1215064142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2105 BEVERLY BLVD
SUITE 207
LOS ANGELES, CA
ZIP 90057-216
Phone: (213) 483-1007
Fax: (213) 483-3207

The enumeration date for this NPI number is 2/27/2007 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyA24055CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A240550MEDICAIDCALIFORNIA
2A24055MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER #
3A23801MEDICARE UPINCALIFORNIA
4A24055OTHERCALIFORNIAMEDICAL LICENSE NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.