MEDICARE: YOUSSEF BEHNAM AWAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A52194	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164528105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUSSEF BEHNAM AWAD MD

Provider Business Mailing Address
First Line	:	3530 LONG BEACH BLVD STE 3
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3942
Country	:	US
Telephone Number	:	562-989-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 LONG BEACH BLVD STE 120
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3972
Country	:	US
Telephone Number	:	562-989-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	06/25/2021

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