Basic Information
| Provider Information | |||||||||
| NPI: | 1154416733 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | S SEAN YOUNAI MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11999 SAN VICENTE BLVD STE 440 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900495042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104715852 | ||||||||
| FaxNumber: | 3104729582 | ||||||||
| Practice Location | |||||||||
| Address1: | 16055 VENTURA BLVD | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | ENCINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914362601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183861222 | ||||||||
| FaxNumber: | 8183861999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 12/23/2008 | ||||||||
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| AuthorizedOfficialLastName: | YOUNAI | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8183861222 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | G69368 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.