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General NPI Number Information
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NPI Number | 1982620647
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Entity Type | Organization
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Legal Business Name | MOHEB S YOUSSEF M D INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 5730 GLEN OAKS DR
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City | LA VERNE
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State | CA
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Zip | 91750-1713
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Country | US
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Telephone | 626-201-4853
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Fax | 909-392-1396
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Provider Business Mailing Address
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Address Line | 5730 GLEN OAKS DR
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City | LA VERNE
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State | CA
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Zip | 91750-1713
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Country | US
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Telephone | 626-201-4853
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Fax | 909-392-1396
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHEB S YOUSSEF
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Credential | M.D.
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Telephone | 800-883-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A42256
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License Number State | CA
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