# YACOUB MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctors Urgent Care Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477698512
- **Authorized official:** MR. ALEX YACOUB (BILLING OFFICE MANAGER)
- **Authorized official phone:** (323) 720-9204

## Contact information

- **Practice address:** 120 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-4730
- **Practice address phone:** (323) 720-9204
- **Practice address fax:** (323) 720-9208
- **Mailing address:** 120 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-4730
- **Mailing address phone:** (323) 720-9204
- **Mailing address fax:** (323) 720-9208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A40189 | CA | — |
| 208D00000X | General Practice Physician | C35815 | CA | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 11/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0070010 | — | CA |