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Organization

MARK YOUSSEF A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK YOUSSEF MD (DIRECT/ SOLE OWNER)
(818) 888-7815
Entity
Organization

Contact information

Practice address
1317 5TH ST STE 300, SANTA MONICA, CA 90401-1433
(310) 434-0044
Mailing address
1317 5TH ST STE 300, SANTA MONICA, CA 90401-1433
(310) 434-0044

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207Y00000X
Otolaryngology Physician
208200000X
Plastic Surgery Physician
Primary
A77473
CA
208D00000X
General Practice Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
04/23/2010
Last updated
11/01/2025
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