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General NPI Number Information
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NPI Number | 1891147567
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Entity Type | Organization
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Legal Business Name | YOUHANS GHEBRENDRIAS MD INC
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 8941 ATLANTA AVE # 7121 360
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-7121
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Country | US
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Telephone | 714-593-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 8941 ATLANTA AVE # 7121 360
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-7121
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Country | US
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Telephone | 714-593-4780
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. YOUHANS GHEBRENDRIAS
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Credential | MD
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Telephone | 714-593-4780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | A131060
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License Number State | CA
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