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NPI Code Detail

MEDICARE: JOHN PAUL ALEXANDER YOSEPH

MEDICARE: JOHN PAUL ALEXANDER YOSEPH
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
1122300000XDentist113025CA

General Provider Information

NPI Number : 1659203602
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PAUL ALEXANDER YOSEPH
Provider Business Mailing Address
First Line : 11681 NELSON ST
Second Line :
City : LOMA LINDA
State : CA
Zip : 92354-3902
Country : US
Telephone Number : 224-717-0933
Fax Number :
Provider Business Practice Location Address
First Line : 3150 CASE RD BLDG C
Second Line :
City : PERRIS
State : CA
Zip : 92570-5552
Country : US
Telephone Number : 951-564-4091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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