Individual
MAIDAH YAQOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8723 ALDEN DR, LOS ANGELES, CA 90048
(310) 423-8784
(310) 423-2665
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1780
(866) 991-4287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036146740
IL
207R00000X
Internal Medicine Physician
260343
MA
207RP1001X
Pulmonary Disease Physician
Primary
A172055
CA
Other
Enumeration date
06/29/2014
Last updated
08/16/2021
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