Provider Demographics
NPI:1295418259
Name:FADY A YOUSSEF MD INC
Entity type:Organization
Organization Name:FADY A YOUSSEF MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FADY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSSEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-491-9270
Mailing Address - Street 1:1590 ADAMS AVE UNIT 1853
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92628-4829
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:628-246-8525
Practice Address - Street 1:1050 LINDEN AVE
Practice Address - Street 2:NEUROSCIENCE 2ND FLOOR
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3321
Practice Address - Country:US
Practice Address - Phone:562-491-9270
Practice Address - Fax:562-491-7985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2025-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty