Mohsen Tavoussi, D.O. Professional Corporation

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

MOHSEN TAVOUSSI, D.O. PROFESSIONAL CORPORATION

Practice address

9209 Colima Rd Ste 2300
Whittier, CA 90605-1817

Phone

(866) 503-3223

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohsen Tavoussi, D.O.NPI 1386839249

Title

President

Phone

(714) 608-4106

Specialties & licenses 1

Addresses

Other names 1

• MOHSEN TAVOUSSI, D.O. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohsen Tavoussi, D.O.

  • Facial Plastic Surgery Physician
  • Whittier, CA
  • NPI 1386839249
  Authorized official Same address or phone

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1356967699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MONARCH BAY DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293438",
            "telephone_number": "714-608-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD STE 2300",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051817",
            "telephone_number": "866-503-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHSEN TAVOUSSI, D.O. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "TAVOUSSI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-608-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOHSEN TAVOUSSI, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bobby Miyamoto
• Keith S Miyamoto, M.D.
• Mercedeh Modir Shanechi
• Gregory John Moegling, D.D.S.
• Nasir A Mohammedi, M.D., M.S., M.S.
• Veronica Mojica
• Cristina Paula Moldovan, PHD
• Arezoukhanom Dadgar Mollamohammad, DDS
• Misha Mottaghian Monazzam, MA, BCBA
• Diane Moncayo, PNP

• Facial Plastic Surgery Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.