Provider Demographics
NPI:1902110273
Name:YOUSSEFZADEH, YVONNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:YOUSSEFZADEH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10557 ALMAYO AVENUE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:310-446-2081
Mailing Address - Fax:310-794-1187
Practice Address - Street 1:10557 ALMAYO AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2308
Practice Address - Country:US
Practice Address - Phone:310-446-2081
Practice Address - Fax:310-794-1187
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 42571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist