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Yacoub Medical, Inc.
General Practice Physician in Montebello, California
NPI 1477698512

Yacoub Medical, Inc. is a General Practice Physician based in Montebello, CA. Yacoub Medical, Inc. practices in Montebello, CA. The NPI Number for Yacoub Medical, Inc. is 1477698512 and holds a License No. C35815 (California).

The current practice location address for Yacoub Medical, Inc. is 120 S Montebello Blvd, Montebello, CA and can be reached out via phone at 323-720-9204 and via fax at 323-720-9208.

Location: 120 S Montebello Blvd, Montebello, CA, 90640-4730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477698512
Provider Name
Yacoub Medical, Inc.
Credential
Provider Entity Type
Organization
Address
120 S Montebello Blvd, Montebello, CA, 90640-4730
Phone Number
323-720-9204
Fax Number
323-720-9208
Provider Enumeration Date
02/20/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0070010 05 CA
institution
Provider Business Practice Location Address Details
Address
120 S Montebello Blvd
City
Montebello
State
California
Zip
90640-4730
Phone Number
323-720-9204
Fax Number
323-720-9208
person
Provider Business Mailing Address Details
Address
120 S Montebello Blvd
City
Montebello
State
California
Zip
90640-4730
Phone Number
323-720-9204
Fax Number
323-720-9208
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C35815 (California)
Definition
Definition to come...
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