EHAB YACOUB MD INC. (NPI# 1417373713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417373713 |
| Entity Type | Organization |
| Organization Name | EHAB YACOUB MD INC. |
| Practice Address |
1225 W 190th St Suite 470 Gardena CA 90248-4320 |
| Practice Telephone | 3105158113 |
| Practice Fax Number | 3105382102 |
| Mailing Telephone | 3105158113 |
| Mailing Fax Number | 3105382102 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Authorized Official Name | DR. EHAB S YACOUB (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3105158113 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A76244 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538581913 | Ehab Yacoub Md Inc. | Psychiatry & Neurology | 18411 Crenshaw Blvd Ste 230, Torrance, CA 90504-5052 | 2014-01-20 |
| Street Address |
1225 W 190TH ST SUITE 470 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598716011 | Aruna R Patil | Anesthesiology | 1225 W 190th St, Suite 205, Gardena, CA 90248-4320 | 2006-05-12 |
| 1821606716 | Hye Young Yoon | Nurse Practitioner | 1225 W 190th St, Gardena, CA 90248-4320 | 2020-07-16 |
| 1346796851 | Claudia Solorzano | Psychologist | 1225 W 190th St, Ste 200, Gardena, CA 90248-4320 | 2016-08-26 |
| 1801245121 | Andrea Sczesny | Nurse Practitioner | 1225 W 190th St, Suite 470, Gardena, CA 90248-4320 | 2016-06-07 |
| 1295102630 | Sabath & Associates | Psychologist | 1225 W 190th St, Suite 220, Gardena, CA 90248-4320 | 2015-09-01 |
| 1306241526 | Tamiko D Love | Social Worker | 1225 W 190th St, Suite 310, Gardena, CA 90248-4320 | 2014-10-30 |
| 1386949030 | Brittany Jenkins | Counselor | 1225 W 190th St, Suite 455h, Gardena, CA 90248-4320 | 2011-01-11 |
| 1700055753 | Sabath & Associates | Non-Pharmacy Dispensing Site | 1225 W 190th St, Ste #220, Gardena, CA 90248-4320 | 2008-02-25 |
| 1558544635 | Brenda Renee Logan | Counselor | 1225 W 190th St, Suite 310, Gardena, CA 90248-4320 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1841686730 | Glenna Croswell Smith | Psychiatry & Neurology | 6345 Balboa Blvd Ste 199, Encino, CA 91316-1515 | 2015-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.