| Mahtab K Yousefi, M.d. | |
|
301 Victoria St Costa Mesa CA 92627-1995 | |
| (949) 624-2734 | |
| Not Available |
| Full Name | Mahtab K Yousefi, M.d. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 301 Victoria St, Costa Mesa, California |
| Authorized Official Name and Position | Mahtab Karkhane Yousefi (CEO) |
| Authorized Official Contact | 9495709415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahtab K Yousefi, M.d. 427 E 17th St # F249 Costa Mesa CA 92627-3201 Ph: (949) 570-9415 | Mahtab K Yousefi, M.d. 301 Victoria St Costa Mesa CA 92627-1995 Ph: (949) 624-2734 |
| NPI Number | 1750027546 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Medicare PECOS PAC ID | 2062898703 |
|---|---|
| Medicare Enrollment ID | O20221003002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750027546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| Provider Name | Mahtab K Yousefi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649613753 PECOS PAC ID: 9335447226 Enrollment ID: I20221003002203 |
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