Organization
MOHSEN TAVOUSSI, D.O. PROFESSIONAL CORPORATION
Active
Other names
MOHSEN TAVOUSSI, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHSEN TAVOUSSI D.O. (PRESIDENT)
(714) 608-4106
Entity
Organization
Contact information
Practice address
9209 COLIMA RD STE 2300, WHITTIER, CA 90605-1817
(866) 503-3223
Mailing address
210 MONARCH BAY DR, DANA POINT, CA 92629-3438
(714) 608-4106
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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