Atousa Mahdavi, CHIROPRACTOR

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC23453 Issued in CA

Practice address

292 S la Cienega Blvd
Suite 101
Beverly Hills, CA 90211-3330

Phone

(310) 289-9770

NPI assigned

Jan 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1932386687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S LA CIENEGA BLVD",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113330",
            "telephone_number": "310-289-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 S LA CIENEGA BLVD",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113330",
            "telephone_number": "310-289-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDAVI",
        "first_name": "ATOUSA",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC23453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathi N. Magnussen, PHD.
• Ilin Magran
• Shalini Mahajan, M.D.
• Ramin Mahallati, DDS
• Tonja Mahallati, LMFT
• Jon P Maher, MFT
• Arnold Myooran Mahesan, MD
• Mahesh S Desilva MD a Medical Corporation
• Mahkameh Soleimani-Farnad DDS, Inc.
• Minoo Mahmoudi, MD

• Sports Physician Chiropractor in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.