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Organization

YACOUB MEDICAL, INC.

Active
Other names
Doctors Urgent Care Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEX YACOUB (BILLING OFFICE MANAGER)
(323) 720-9204
Entity
Organization

Contact information

Practice address
120 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-4730
(323) 720-9204
(323) 720-9208
Mailing address
120 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-4730
(323) 720-9204
(323) 720-9208

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
A40189
CA
208D00000X
General Practice Physician
Primary
C35815
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0070010
CA
Enumeration date
02/20/2007
Last updated
11/12/2008
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