Yacoub, Emile Ignatius

Yacoub, Emile Ignatius is an individual health care provider with primary practice located at 341 Magnolia Ave Suite 103, Corona CA 92879-3330. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Yacoub, Emile Ignatius can be contacted via phone (951) 735-6060.

Contact Information

Primary practice address
341 Magnolia Ave Suite 103 Corona CA 92879-3330
Phone: (951) 735-6060
Fax: (951) 735-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT25573 California

Profile Details

NPI number 1285645606
LBN Legal business name Yacoub, Emile Ignatius
Credentials DPT OCS CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 21st, 2008 - about 18 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 1285645606 NPPES
California Other 0PT255730 BLUE CROSS
California Other 0PT255730 BLUE CROSS

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