Individual
NICK D YOUSSEFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6600 BRUCEVILLE RD DEPT OF, SACRAMENTO, CA 95823-4671
(916) 688-6774
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518259415
—
CA
Enumeration date
05/10/2011
Last updated
11/12/2024
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