Healthcare Provider Details

I. General information

NPI: 1972828291
Provider Name (Legal Business Name): YOUSSEF ELIAS MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31625 DE PORTOLA RD STE 101
TEMECULA CA
92592-2770
US

IV. Provider business mailing address

31625 DE PORTOLA RD STE 101
TEMECULA CA
92592-2770
US

V. Phone/Fax

Practice location:
  • Phone: 951-501-4200
  • Fax:
Mailing address:
  • Phone: 951-501-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA171100
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: