Basic Information
| Provider Information | |||||||||
| NPI: | 1770694069 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YOUNAI | ||||||||
| FirstName: | SOHEIL | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 16055 VENTURA BLVD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ENCINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914362601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183861222 | ||||||||
| FaxNumber: | 8183861999 | ||||||||
| Practice Location | |||||||||
| Address1: | 16055 VENTURA BLVD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ENCINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914362601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183861222 | ||||||||
| FaxNumber: | 8183861999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 03/19/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | G69368 | CA | Y | Other Service Providers | Specialist |
No ID Information.