# GHOZLAND AND YOUSSEF A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053787366
- **Authorized official:** MARK YOUSEFF MD (OWNER)
- **Authorized official phone:** (310) 434-0044

## Contact information

- **Practice address:** 1551 OCEAN AVE, STE. 200, SANTA MONICA, CA 90401-2108
- **Practice address phone:** (310) 434-0044
- **Practice address fax:** (310) 434-0099
- **Mailing address:** PO BOX 893520, TEMECULA, CA 92589-3520
- **Mailing address phone:** (310) 434-0044
- **Mailing address fax:** (310) 434-0099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 08/20/2015
- **Last updated:** 08/20/2015