Provider Demographics
NPI:1366650608
Name:YOUSSEF, ASHRAF E (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:E
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHRAF
Other - Middle Name:E
Other - Last Name:YOUSSEF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 8800
Mailing Address - Street 2:
Mailing Address - City:WASCO
Mailing Address - State:CA
Mailing Address - Zip Code:93280-8800
Mailing Address - Country:US
Mailing Address - Phone:661-758-8400
Mailing Address - Fax:661-758-7088
Practice Address - Street 1:WASC STATE PRISON
Practice Address - Street 2:
Practice Address - City:WASCO
Practice Address - State:CA
Practice Address - Zip Code:93280-8800
Practice Address - Country:US
Practice Address - Phone:661-758-8400
Practice Address - Fax:661-758-7088
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77629207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine