Doctor Name: | DR. ATEF LABIB YACOUB |
NPI Number: | 1740339894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A40189 |
Business Practice Address: | 126 S Montebello Blvd Montebello, CA - 906404730 |
Business Phone Number: | 3237209204 |
Business Fax Number: | 3237209208 |
Mailing Address: | Po Box 2199, MONTEBELLO |
State: | CA |
Postal Code: | 906408099 |
Phone Number: | 3237260533 |
Fax Number: | 3237260274 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A40189 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |