MEDICARE: Y&L COMMUNITY CARE SOLUTIONS LLC

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	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1528859733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y&L COMMUNITY CARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1111 6TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-5209
Country	:	US
Telephone Number	:	858-254-0190
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 6TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-5209
Country	:	US
Telephone Number	:	858-254-0190
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIBAN ADAN YUSUF
Credential	:
Telephone Number	:	858-254-0190

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	06/04/2025

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