DR. ANWAR IBRAHIM YACOUB DDS
NPI 1902961022
Dentist - General Practice in Los Angeles, CA

Active since December 27, 2006
12456 VENICE BLVD, LOS ANGELES, CA 90066(310) 390-2423(310) 363-4410 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anwar Ibrahim Yacoub Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANWAR IBRAHIM YACOUB DDS (NPI 1902961022) is an individual general practice provider in Los Angeles, California, licensed in California (D52697) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1902961022
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANWAR IBRAHIM YACOUBCredential: DDS
Location Address12456 VENICE BLVDLos Angeles, CA 90066
Mailing Address12456 Venice BlvdLos Angeles, CA 90066 · (310) 390-2423 · Fax (310) 363-4410
Fax(310) 363-4410
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902961022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · D52697
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12456 VENICE BLVD, Los Angeles, CA 90066

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
12456 VENICE BLVD
LOS ANGELES, CA 90066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anwar Yacoub's NPI number?

The NPI number for Anwar Yacoub is 1902961022. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Anwar Yacoub located?

Anwar Yacoub practices at 12456 Venice Blvd, Los Angeles, CA 90066. The listed phone number is (310) 390-2423.

What is Anwar Yacoub's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Anwar Yacoub was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.