person
Mr. Yacoob Vahed, PA-C
Surgical Physician Assistant in Newport Beach, California
NPI 1386751121

Yacoob Vahed is a Surgical Physician Assistant based in Newport Beach, CA and is specialized in Surgical. Yacoob Vahed practices in Newport Beach, CA and has the professional credentials of PA-C. The NPI Number for Yacoob Vahed is 1386751121 and holds a License No. PA18422 (California).

The current practice location address for Yacoob Vahed is 447 Old Newport Blvd Ste 200, Newport Beach, CA and can be reached out via phone at 949-650-3350 and via fax at 949-650-1274.

Location: 447 Old Newport Blvd Ste 200, Newport Beach, CA, 92663-4257
person
Provider Profile Details
NPI Number
1386751121
Provider Name
Yacoob Vahed
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
447 Old Newport Blvd Ste 200, Newport Beach, CA, 92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330204983 01 CA TAX ID
1750339479 01 CA NPI - GROUP
PA18422 01 CA LISC.
W10327 01 CA MCR GROUP ID
institution
Provider Business Practice Location Address Details
Address
447 Old Newport Blvd Ste 200
City
State
Zip
92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
person
Provider Business Mailing Address Details
Address
447 Old Newport Blvd Ste 200
City
State
Zip
92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA18422 (California)
Definition
Definition to come...
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