Provider Demographics
NPI:1386089407
Name:TAHIRI, YOUSSEF (MD, MSC, FRCSC)
Entity type:Individual
Prefix:DR
First Name:YOUSSEF
Middle Name:
Last Name:TAHIRI
Suffix:
Gender:M
Credentials:MD, MSC, FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9033 WILSHIRE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1836
Mailing Address - Country:US
Mailing Address - Phone:310-890-4802
Mailing Address - Fax:310-255-4476
Practice Address - Street 1:9033 WILSHIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1836
Practice Address - Country:US
Practice Address - Phone:310-890-4802
Practice Address - Fax:310-255-4476
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA141420208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery