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Organization
ROBBY T AYOUB MD PROF MEDICAL CORP
Active
Organization
ROBBY T AYOUB MD PROF MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBBY T AYOUB MD (PRESIDENT)
(714) 432-1800
Entity
Organization
Contact information
Practice address
8201 NEWMAN AVE, SUITE 101, HUNTINGTON BEACH, CA 92647-7020
(714) 847-6900
(714) 847-3900
Mailing address
17870 NEWHOPE ST, SUITE 104-546, FOUNTAIN VALLEY, CA 92708-5439
(714) 847-6900
(714) 847-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
A102841
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC648A
PTAN
CA
Enumeration date
03/31/2009
Last updated
08/22/2016
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