Provider Demographics
NPI:1962693598
Name:IREIFEJ, YOUSEF W (MD)
Entity type:Individual
Prefix:DR
First Name:YOUSEF
Middle Name:W
Last Name:IREIFEJ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7955 WESTMINSTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4001
Mailing Address - Country:US
Mailing Address - Phone:714-379-3221
Mailing Address - Fax:714-379-3211
Practice Address - Street 1:12665 GARDEN GROVE BLVD STE 502A
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1919
Practice Address - Country:US
Practice Address - Phone:714-537-7800
Practice Address - Fax:714-537-7633
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2019-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA100115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A1001150Medicaid
CAWA100115AMedicaid