Organization
EHAB YACOUB MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHAB S YACOUB MD (CEO)
(310) 592-4529
Entity
Organization
Contact information
Practice address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(877) 515-8113
(877) 538-2102
Mailing address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(310) 515-8113
(310) 538-2102
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
A76244
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
01/30/2024
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