Provider Demographics
NPI:1942418801
Name:RAJABI, YOUSEF (DDS)
Entity Type:Individual
Prefix:DR
First Name:YOUSEF
Middle Name:
Last Name:RAJABI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 E BRIGHTON LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4702
Mailing Address - Country:US
Mailing Address - Phone:714-998-1197
Mailing Address - Fax:714-998-1197
Practice Address - Street 1:900 S MAIN ST STE 107
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3401
Practice Address - Country:US
Practice Address - Phone:951-734-4170
Practice Address - Fax:951-734-4180
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA440671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice