Provider Demographics
NPI:1669726899
Name:BAHDI, YOUSEF (RPH)
Entity type:Individual
Prefix:DR
First Name:YOUSEF
Middle Name:
Last Name:BAHDI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 CALLE ALTO
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-4317
Mailing Address - Country:US
Mailing Address - Phone:626-375-5554
Mailing Address - Fax:
Practice Address - Street 1:1737 CALLE ALTO
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-4317
Practice Address - Country:US
Practice Address - Phone:626-375-5554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist