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Ehab Yacoub Md Inc.
Community/Behavioral Health Agency in Gardena, California
NPI 1417373713

Ehab Yacoub Md Inc. is a Community/Behavioral Health Agency based in Gardena, CA. Ehab Yacoub Md Inc. practices in Gardena, CA. The NPI Number for Ehab Yacoub Md Inc. is 1417373713 and holds a License No. A76244 (California).

The current practice location address for Ehab Yacoub Md Inc. is 1225 W 190Th St Ste 280, Gardena, CA and can be reached out via phone at 310-515-8113 and via fax at 310-538-2102.

Location: 1225 W 190Th St Ste 280, Gardena, CA, 90248-4305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417373713
Provider Name
Ehab Yacoub Md Inc.
Credential
Provider Entity Type
Organization
Address
1225 W 190Th St Ste 280, Gardena, CA, 90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
Provider Enumeration Date
03/11/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
person
Provider Business Mailing Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
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Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
A76244 (California)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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