Provider Demographics
NPI:1164718896
Name:YOUNES, MIRELLA (MD)
Entity Type:Individual
Prefix:
First Name:MIRELLA
Middle Name:
Last Name:YOUNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3622 W PACKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-5010
Mailing Address - Country:US
Mailing Address - Phone:559-382-3820
Mailing Address - Fax:559-224-1012
Practice Address - Street 1:3622 W PACKWOOD AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-5010
Practice Address - Country:US
Practice Address - Phone:559-382-3820
Practice Address - Fax:559-224-1012
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127901207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine