Provider Demographics
NPI:1689843989
Name:FOYOUZI-YOUSEFI, NASTARAN (MD)
Entity Type:Individual
Prefix:
First Name:NASTARAN
Middle Name:
Last Name:FOYOUZI-YOUSEFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 S BARRINGTON AVE
Mailing Address - Street 2:APT 312
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3352
Mailing Address - Country:US
Mailing Address - Phone:203-907-6910
Mailing Address - Fax:
Practice Address - Street 1:233 S BARRINGTON AVE
Practice Address - Street 2:APT 312
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3352
Practice Address - Country:US
Practice Address - Phone:203-907-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006014093207V00000X
MI4301101922207V00000X, 207VE0102X
CAA107690207VE0102X
OH35125063207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology