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NPI Code Detail

MEDICARE: DR. YOUSEF W IREIFEJ M.D.

MEDICARE: DR. YOUSEF W IREIFEJ M.D.
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
1207Q00000XFamily Medicine PhysicianA100115CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962693598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YOUSEF W IREIFEJ M.D.
Provider Business Mailing Address
First Line : 7955 WESTMINSTER BLVD
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-4001
Country : US
Telephone Number : 714-379-3221
Fax Number : 714-379-3211
Provider Business Practice Location Address
First Line : 12665 GARDEN GROVE BLVD STE 502A
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-1919
Country : US
Telephone Number : 714-537-7800
Fax Number : 714-537-7633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 07/18/2019

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