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Organization
PACIFICA BRAIN HEALTH RESIDENCY PROGRAM
Active
Organization
PACIFICA BRAIN HEALTH RESIDENCY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EKRAM YACOUB (CEO)
(310) 597-2081
Entity
Organization
Contact information
Practice address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(310) 597-2081
Mailing address
18430 BROOKHURST ST STE 202E, FOUNTAIN VLY, CA 92708-6762
(310) 597-2081
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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