| Yacoub Medical, Inc. | |
|
120 S Montebello Blvd Montebello CA 90640-4730 | |
| (323) 720-9204 | |
| (323) 720-9208 |
| Full Name | Yacoub Medical, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 120 S Montebello Blvd, Montebello, California |
| Authorized Official Name and Position | Alex Yacoub (BILLING OFFICE MANAGER) |
| Authorized Official Contact | 3237209204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yacoub Medical, Inc. 120 S Montebello Blvd Montebello CA 90640-4730 Ph: (323) 720-9204 | Yacoub Medical, Inc. 120 S Montebello Blvd Montebello CA 90640-4730 Ph: (323) 720-9204 |
| NPI Number | 1477698512 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 11/12/2008 |
| Medicare PECOS PAC ID | 0446311542 |
|---|---|
| Medicare Enrollment ID | O20081208000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477698512 | NPI | - | NPPES |
| GR0070010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A40189 (California) | Secondary |
| 208D00000X | General Practice | C35815 (California) | Primary |
| Provider Name | Atef L Yacoub |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740339894 PECOS PAC ID: 9931166964 Enrollment ID: I20041211000050 |
| Provider Name | Enrique J Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023161684 PECOS PAC ID: 2860540135 Enrollment ID: I20090427000292 |
| Provider Name | Asen Ranguelov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386917573 PECOS PAC ID: 3476717737 Enrollment ID: I20120618000237 |
| Provider Name | Chyle E Beaird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043374473 PECOS PAC ID: 0345493748 Enrollment ID: I20130116000071 |
| Provider Name | Jose J Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346396645 PECOS PAC ID: 0941291025 Enrollment ID: I20140612001483 |
| Provider Name | Dushyant Viswanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285897421 PECOS PAC ID: 8628255692 Enrollment ID: I20140820002310 |
| Provider Name | Lord L Addo-yirenkyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588140008 PECOS PAC ID: 3678999109 Enrollment ID: I20200814001115 |
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