Healthcare Provider Details

I. General information

NPI: 1497117626
Provider Name (Legal Business Name): NAJIB USSEF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2016
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N INDIAN CANYON DR STE W201
PALM SPRINGS CA
92262-4876
US

IV. Provider business mailing address

PO BOX 19406
BELFAST ME
04915-4089
US

V. Phone/Fax

Practice location:
  • Phone: 760-416-4575
  • Fax: 760-416-4577
Mailing address:
  • Phone: 888-402-7256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA170766
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301110629
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: