Individual
DR. ATEF LABIB YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
126 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-4730
(323) 720-9204
(323) 720-9208
Mailing address
PO BOX 2199, MONTEBELLO, CA 90640-8099
(323) 726-0533
(323) 726-0274
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A40189
CA
208D00000X
General Practice Physician
A40189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0070010
—
CA
05
—
GR0070630
—
CA
Enumeration date
01/09/2007
Last updated
12/02/2008
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