Vahed, Yacoob

Vahed, Yacoob is an individual health care provider with primary practice located at 447 Old Newport Blvd Ste 200 , Newport Beach CA 92663-4257. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Vahed, Yacoob can be contacted via phone (949) 650-3350.

Contact Information

Primary practice address
447 Old Newport Blvd Ste 200 Newport Beach CA 92663-4257
Phone: (949) 650-3350
Fax: (949) 650-1274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18422 California

Profile Details

NPI number 1386751121
LBN Legal business name Vahed, Yacoob
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Nov 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386751121 NPPES
California Other 330204983 TAX ID
California Other 1750339479 TAX ID
California Other PA18422 TAX ID
California Other W10327 TAX ID

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