MEDHAT MANSOUR M.D.
NPI 1215064142
Urology in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Urology with taxonomy code 208800000X.

Active since February 27, 2007

2105 BEVERLY BLVD, SUITE 207, LOS ANGELES, CA 90057(213) 483-1007(213) 483-3207 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Medhat Mansour M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDHAT MANSOUR M.D. (NPI 1215064142) is an individual urology provider in Los Angeles, California, licensed in California (A24055) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1215064142

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMEDHAT MANSOURCredential: M.D.

Location Address2105 BEVERLY BLVD, SUITE 207Los Angeles, CA 90057-2216

Mailing Address2105 Beverly Blvd, Suite 207Los Angeles, CA 90057-2216 · (213) 483-1007 · Fax (213) 483-3207

Phone(213) 483-1007

Fax(213) 483-3207

Sole ProprietorYes

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1215064142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A24055

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2105 BEVERLY BLVD, Los Angeles, CA 90057

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