Individual
DR. MOUSSA YAZBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 937-0404
(925) 937-1340
Mailing address
1455 MONTEGO, SUITE 200, WALNUT CREEK, CA 94598-2990
(925) 937-0404
(925) 937-1340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E3824
AR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A87574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150250001
—
AR
05
—
200021000A
—
OK
01
—
5M633
AR BCBS
AR
Enumeration date
07/09/2006
Last updated
11/05/2012
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