MEDICARE: DR. MANSOUR

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	122300000X	Dentist	58012	CA

General Provider Information

NPI Number	:	1780920702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MANSOUR

Provider Business Mailing Address
First Line	:	68487 E PALM CANYON DR STE 1
Second Line	:
City	:	CATHEDRAL CTY
State	:	CA
Zip	:	92234-5434
Country	:	US
Telephone Number	:	760-770-2776
Fax Number	:

Provider Business Practice Location Address
First Line	:	68487 E PALM CANYON DR STE 1
Second Line	:
City	:	CATHEDRAL CTY
State	:	CA
Zip	:	92234-5434
Country	:	US
Telephone Number	:	760-770-2776
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YAHYA MANSOUR
Credential	:
Telephone Number	:	817-529-8151

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	01/23/2013

Similar Medicare Providers

1174618003 — HIVAND AND GHAZAL DENTAL CORPORATION
Practice Location Address:

68487 E PALM CANYON DR , BLDG. 1
CATHEDRAL CITY, CA
92234-5434

Practice Phone: 760-328-6208
Practice Fax: 760-328-6169

1154016558 — PALM SPRINGS REHAB LLC
Practice Location Address:

68487 E PALM CANYON DR STE 44
CATHEDRAL CITY, CA
92234-5434

Practice Phone: 310-343-8684
Practice Fax:

1285489435 — NATURAL REST HOUSE, INC.
Practice Location Address:

68487 E PALM CANYON DR
CATHEDRAL CITY, CA
92234-5434

Practice Phone: 310-343-8684
Practice Fax:

1184815268 — AYMAN KAMAL EL RAHEB DDS
Practice Location Address:

68860 RAMON RD STE 1
CATHEDRAL CTY, CA
92234-3385

Practice Phone: 760-324-1618
Practice Fax: 760-328-0293

1629365655 — EDWARD J BUSTAMANTE R.R.W.
Practice Location Address:

68100 RAMON RD
CATHEDRAL CTY, CA
92234-3387

Practice Phone: 760-321-0870
Practice Fax:

1023653284 — DOROTHY MAE RIDLEY
Practice Location Address:

35200 CATHEDRAL CANYON DR
CATHEDRAL CTY, CA
92234-7257

Practice Phone: 510-575-8157
Practice Fax:

Directions to “DR. MANSOUR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.