Healthcare Provider Details

I. General information

NPI: 1033683388
Provider Name (Legal Business Name): HAYAT EL YOUSFI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4555 N PERSHING AVE STE 7
STOCKTON CA
95207-6739
US

IV. Provider business mailing address

4555 N PERSHING AVE STE 1426
STOCKTON CA
95207-6740
US

V. Phone/Fax

Practice location:
  • Phone: 209-565-6304
  • Fax: 209-565-6305
Mailing address:
  • Phone: 209-565-6304
  • Fax: 209-565-6305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: