Organization
EHAB YACOUB MD INC.
Active
Other names
Brain Health USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB S YACOUB M.D. (MEDICAL DIRECTOR)
(310) 515-8113
Entity
Organization
Contact information
Practice address
1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
(310) 515-8113
(310) 538-2102
Mailing address
1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
(310) 515-8113
(310) 538-2102
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A76244
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/11/2014
Last updated
01/02/2024
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