Organization
FARHAD KHOSSOUSSI, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD KHOSSOUSSI M.D. (OWNER)
(562) 925-1414
Entity
Organization
Contact information
Practice address
504 N BEDFORD DR, BEVERLY HILLS, CA 90210-3214
(310) 387-7770
(310) 858-2961
Mailing address
PO BOX 69649, WEST HOLLYWOOD, CA 90069-0649
(310) 387-7770
(310) 858-2961
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A51487
CA
Other
Enumeration date
11/28/2006
Last updated
06/17/2015
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