Individual
G. HOSSEIN MAHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, MS# 65, LOS ANGELES, CA 90027-6062
(323) 669-2322
(323) 666-3466
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 669-2337
(323) 644-8488
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
A24645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A246450
—
CA
01
—
00A246460 F83
CAL OPTIMA
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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