Healthcare Provider Details

I. General information

NPI: 1851639751
Provider Name (Legal Business Name): ANAHEIM HEALTH CLINIC, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1077 N STATE COLLEGE BLVD
ANAHEIM CA
92806-2702
US

IV. Provider business mailing address

PO BOX 76002
ANAHEIM CA
92809-7602
US

V. Phone/Fax

Practice location:
  • Phone: 714-533-4362
  • Fax:
Mailing address:
  • Phone: 714-533-4362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE YOUSSEF
Title or Position: DIRECTOR
Credential: M.D.
Phone: 714-533-4362