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General NPI Number Information
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NPI Number | 1386904720
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Entity Type | Individual
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Provider Name | FADY YOUSSEF M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1050 LINDEN AVE NEUROSCIENCE SECOND FLOOR
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City | LONG BEACH
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State | CA
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Zip | 90813
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Country | US
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Telephone | 562-491-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 1590 ADAMS AVE UNIT 1853
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City | COSTA MESA
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State | CA
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Zip | 92628-4829
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Country | US
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Telephone | 562-491-9270
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A129395
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A129395
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A129395
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License Number State | CA
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