Individual provider · Type 1 NPI
Behnoush Mortazavi, NP-C, MSN
Women's Health Nurse Practitioner · Los Angeles, CA
NPI number
1114226628
Active
Practice location
400 W 30th St
Los Angeles, CA 90007-3320
Fax (213) 284-3352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 001263 (NV) |
| Family Nurse Practitioner | 363LF0000X | 202470 (CA) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 20470 (CA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1114226628
Behnoush Mortazavi, NP-C, MSN's National Provider Identifier is 1114226628, issued on Mar 23, 2011. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 22, 2014.