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Organization

FAMILY MEDICAL AND OCCUPATIONAL CLINICS IN CA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE FOUAD YOUSSEF M.D. (PRESIDENT)
(714) 774-0754
Entity
Organization

Contact information

Practice address
1120 W LA PALMA AVE STE 10, ANAHEIM, CA 92801-2805
(714) 774-0754
(714) 774-0119
Mailing address
1120 W LA PALMA AVE STE 10, ANAHEIM, CA 92801-2805
(714) 774-0754
(714) 774-0119

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A42255
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A422550
CA
Enumeration date
05/15/2015
Last updated
05/15/2015
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