Individual
ELIJAH B YOUSSEFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1107 W POPLAR AVE, PORTERVILLE, CA 93257-5839
(559) 781-7242
(559) 793-3574
Mailing address
305 EAST CENTER AVE., VISALIA, CA 93291-6331
(559) 737-4700
(559) 737-4782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8082580-1206
UT
363A00000X
Physician Assistant
8082580-8906
UT
363A00000X
Physician Assistant
Primary
PA22271
CA
Other
Enumeration date
09/01/2011
Last updated
07/31/2013
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