Individual provider · NPI-1

Shenoda Yousef Azmy Abd Elmaseh

Family Medicine · Mission Viejo, CA

NPI number1194348656
StatusActive
Last updated in NPPESNov 9, 2023

Details

NPI
1194348656
Entity type
Individual (NPI-1)
Name
Shenoda Yousef Azmy Abd Elmaseh
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2020
Certification date
Nov 9, 2023
Last updated
Nov 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine181983CAYes

Practice location

26800 Crown Valley Pkwy Ste 150
Mission Viejo, CA 92691-8018

Phone 949-276-2111

Mailing address

6472 Warner Ave Apt E
Huntington Beach, CA 92647-5158

Phone 714-487-1151

Other practice locations

2700 Dolbeer St
Eureka, CA 95501-4736

Phone 707-445-8121

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Mission Viejo, CA