Provider Demographics
NPI:1548589864
Name:FRANK M. YUSUF, M.D., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:FRANK M. YUSUF, M.D., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:M
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-945-1835
Mailing Address - Street 1:1601 W AVENUE J
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2824
Mailing Address - Country:US
Mailing Address - Phone:661-945-1835
Mailing Address - Fax:661-945-2035
Practice Address - Street 1:1601 W AVENUE J
Practice Address - Street 2:SUITE 104
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2824
Practice Address - Country:US
Practice Address - Phone:661-945-1835
Practice Address - Fax:661-945-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32239208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA84331Medicare UPIN