Provider Demographics
NPI:1003029372
Name:TANAGHO, YOUSSEF S (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:YOUSSEF
Middle Name:S
Last Name:TANAGHO
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:PO BOX 15655
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-1655
Mailing Address - Country:US
Mailing Address - Phone:323-236-4709
Mailing Address - Fax:
Practice Address - Street 1:14860 ROSCOE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4683
Practice Address - Country:US
Practice Address - Phone:310-553-5203
Practice Address - Fax:213-528-7373
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011012612208800000X
CAA125924208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology