Individual
IMDAD YUSUFALY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36243 INLAND VALLEY DR, STE 170, WILDOMAR, CA 92595-9548
(951) 677-1767
(951) 677-5084
Mailing address
36243 INLAND VALLEY DR, STE 170, WILDOMAR, CA 92595-9548
(951) 677-1767
(951) 677-5084
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A50931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA509310
—
CA
Enumeration date
11/17/2005
Last updated
03/21/2017
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