IndividualActive
Behnoush Mortazavi, NP-C, MSN
NPI 1114226628 · Women's Health Nurse Practitioner · Los Angeles, CA
Provider details
- NPI number
- 1114226628
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C, MSN
- Sex
- Female
- Sole proprietor
- No
- License
- 001263 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
400 W 30th St
Los Angeles, CA 90007-3320
Phone: (213) 284-3200
Fax: (213) 284-3352
Approximate (ZIP-level) locationGet directions
Mailing address
400 W 30th St
Los Angeles, CA 90007-3320
Registry dates
- Enumerated
- 2011-03-23
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.