MEDICARE: HOSSEIN MOLAZADEH-YAZDI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	273104	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881829661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOSSEIN MOLAZADEH-YAZDI M.D.

Provider Business Mailing Address
First Line	:	6439 DEEP DELL PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-2845
Country	:	US
Telephone Number	:	718-551-5490
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 N CRESCENT DR STE 300
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-6814
Country	:	US
Telephone Number	:	310-657-9191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2009
Last Update Date	:	08/18/2025

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