Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Omar Mendoza Mahmood, PHD

Individual provider Clinical Neuropsychologist · NPI 1326309154

Dr. Omar Mendoza Mahmood, PHD is a Clinical Psychologist in Los Angeles, California. Graduated from Wayne State University School of Medicine in 2008, 18 years ago. Practices with Executive Mental Health, Inc, a 47-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Trained at
Wayne State University School of Medicine
Licensed in
CA
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10801 National Blvd Ste 611
Los Angeles, CA 90064-4170
Phone: (310) 273-4843
Fax: (310) 273-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY24715 (CA)

Record details

NPI number1326309154
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 7, 2012
Last updated in NPPESJuly 15, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Executive Mental Health, Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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