Organization
EHAB YACOUB MD INC.
Active
Other names
Brain Heath USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB S YACOUB (CEO)
(877) 515-8113
Entity
Organization
Contact information
Practice address
1225 W 190TH ST STE 470, GARDENA, CA 90248-4305
(310) 515-8113
Mailing address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(877) 515-8113
(877) 538-2102
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A76244
CA
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/04/2015
Last updated
02/13/2024
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