Provider Demographics
NPI:1245862101
Name:YUVAL BIBI LLC
Entity type:Organization
Organization Name:YUVAL BIBI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YUVAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-309-9969
Mailing Address - Street 1:7266 FRANKLIN AVE APT 321
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-8324
Mailing Address - Country:US
Mailing Address - Phone:213-309-9969
Mailing Address - Fax:
Practice Address - Street 1:2101 NE 4TH WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-8132
Practice Address - Country:US
Practice Address - Phone:213-309-9969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-09
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty