Provider Demographics
NPI:1487451340
Name:YOUSSEF, DANIEL RIAD ALBERT (RPH)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:RIAD ALBERT
Last Name:YOUSSEF
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 1:1545 BORDER AVE APT G
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-7023
Mailing Address - Country:US
Mailing Address - Phone:714-858-3987
Mailing Address - Fax:
Practice Address - Street 1:1545 BORDER AVE APT G
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-7023
Practice Address - Country:US
Practice Address - Phone:714-858-3987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist