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 1:11480 BROOKSHIRE AVE STE #300
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5023
Mailing Address - Country:US
Mailing Address - Phone:562-904-4485
Mailing Address - Fax:562-904-4486
Practice Address - Street 1:11480 BROOKSHIRE AVE STE #300
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5023
Practice Address - Country:US
Practice Address - Phone:562-904-4485
Practice Address - Fax:562-904-4486
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2021-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA145231207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology