| NPI | 1659698181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK YOUSSEF Direct/ Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A77473) |
| Additional Taxonomies | 208D00000X General Practice |
| 363L00000X Nurse Practitioner | |
| 207N00000X Dermatology | |
| 207Y00000X Otolaryngology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2025-11-01 |