MEDICARE: YASIN K AQUIL

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	106H00000X	Marriage & Family Therapist	100729	CA

General Provider Information

NPI Number	:	1336678457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASIN K AQUIL

Provider Business Mailing Address
First Line	:	4508 ATLANTIC AVE STE A
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-1521
Country	:	US
Telephone Number	:	562-739-4839
Fax Number	:

Provider Business Practice Location Address
First Line	:	4508 ATLANTIC AVE STE A226
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-1520
Country	:	US
Telephone Number	:	562-739-4839
Fax Number	:

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

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	11/26/2025

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Directions to “ YASIN K AQUIL ” Practice Location

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