Healthcare Provider Details

I. General information

NPI: 1881736312
Provider Name (Legal Business Name): YOUNES MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 03/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36923 COOK ST SUITE 103
PALM DESERT CA
92211-6073
US

IV. Provider business mailing address

36923 COOK ST SUITE 103
PALM DESERT CA
92211-6073
US

V. Phone/Fax

Practice location:
  • Phone: 760-636-1336
  • Fax: 760-636-1335
Mailing address:
  • Phone: 760-636-1336
  • Fax: 760-636-1335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License NumberA94095
License Number StateCA

VIII. Authorized Official

Name: MISS CARLA MENDES
Title or Position: OFFICE/BILLING MANAGER
Credential:
Phone: 760-636-1336