Mehran Movassaghi MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A101122 Issued in CA

Legal business name

MEHRAN MOVASSAGHI MD INC

Practice address

2080 Century Park East
Suite 1407
Los Angeles, CA 90067-2017

Phone

(310) 277-2929

Fax

(310) 709-8094

NPI assigned

Apr 30, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mehran Movassaghi, MD

Title

President

Phone

(310) 277-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1194102947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672017",
            "telephone_number": "310-277-2929",
            "fax_number": "310-709-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672017",
            "telephone_number": "310-277-2929",
            "fax_number": "310-709-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN MOVASSAGHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "MOVASSAGHI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-277-2929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A101122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "A101122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Mehrabian, ASW
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• Lisa Mehrannia, LMFT
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• Rosemina Mehrdady, M.D.

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.