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NPI Code Detail

MEDICARE: JOSEPH YACOUB DPM

MEDICARE:   JOSEPH  YACOUB  DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristE5732CA

General Provider Information

NPI Number : 1912498940
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH YACOUB DPM
Provider Business Mailing Address
First Line : 1043 ELM AVE STE 407
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3206
Country : US
Telephone Number : 562-491-0505
Fax Number :
Provider Business Practice Location Address
First Line : 1043 ELM AVE STE 407
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3206
Country : US
Telephone Number : 562-491-0505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 02/03/2026

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Directions to “ JOSEPH YACOUB DPM” Practice Location

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