Provider Demographics
NPI:1114347804
Name:MAHBOUBI, HOSSEIN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:HOSSEIN
Middle Name:
Last Name:MAHBOUBI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 WILSHIRE BLVD STE 480
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-5809
Mailing Address - Country:US
Mailing Address - Phone:213-483-9930
Mailing Address - Fax:562-967-2363
Practice Address - Street 1:1245 WILSHIRE BLVD STE 480
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-5809
Practice Address - Country:US
Practice Address - Phone:213-483-9930
Practice Address - Fax:562-967-2363
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA145231207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology