# EHAB YACOUB MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brain Health USA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417373713
- **Authorized official:** DR. EHAB S YACOUB M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 515-8113

## Contact information

- **Practice address:** 1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
- **Practice address phone:** (310) 515-8113
- **Practice address fax:** (310) 538-2102
- **Mailing address:** 1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
- **Mailing address phone:** (310) 515-8113
- **Mailing address fax:** (310) 538-2102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A76244 | CA | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 01/02/2024