Provider Demographics
NPI:1811133325
Name:AYOUB, JOSHUA SULEIMAN
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:SULEIMAN
Last Name:AYOUB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9735 WILSHIRE BLVD STE 411
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2103
Mailing Address - Country:US
Mailing Address - Phone:909-586-0175
Mailing Address - Fax:
Practice Address - Street 1:9735 WILSHIRE BLVD STE 411
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2103
Practice Address - Country:US
Practice Address - Phone:310-275-5518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57179122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist