Yaifeh Chafeh, | |
14541 Delano St, Van Nuys, CA 91411-2820 | |
(800) 919-0118 | |
Not Available |
Full Name | Yaifeh Chafeh |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14541 Delano St, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508558099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95024735 (California) | Primary |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
---|---|
Yaifeh Chafeh, 14541 Delano St # Sy, Van Nuys, CA 91411-2820 Ph: () - | Yaifeh Chafeh, 14541 Delano St, Van Nuys, CA 91411-2820 Ph: (800) 919-0118 |
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