Organization
SAINT YOUSTINA
Active
Organization
SAINT YOUSTINA
Active
Other names
St Youstina Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC NAGEEB BESHAY MD (CEO)
(714) 290-6269
Entity
Organization
Contact information
Practice address
809 S MAIN ST APT A, SANTA ANA, CA 92701-6605
(714) 973-7770
(714) 973-7775
Mailing address
PO BOX 10875, COSTA MESA, CA 92627-0268
(714) 973-7770
(714) 973-7775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346492055
—
CA
Enumeration date
10/15/2019
Last updated
01/31/2024
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