Farhad Khossoussi, MD, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A51487 Issued in CA

Legal business name

FARHAD KHOSSOUSSI, MD, INC.

Practice address

504 N Bedford Dr
Beverly Hills, CA 90210-3214

Phone

(310) 387-7770

Fax

(310) 858-2961

NPI assigned

Nov 28, 2006

Last updated

Jun 17, 2015By 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

Farhad Khossoussi, M.D.

Title

Owner

Phone

(562) 925-1414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1376610303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69649",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900690649",
            "telephone_number": "310-387-7770",
            "fax_number": "310-858-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N BEDFORD DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103214",
            "telephone_number": "310-387-7770",
            "fax_number": "310-858-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD KHOSSOUSSI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "KHOSSOUSSI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-925-1414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.