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Ghozland And Youssef A Medical Corp

Obstetrics & Gynecology in Santa Monica, CA. Organization (NPI-2).

NPI number1053787366
StatusActive
Last updated in NPPESAug 20, 2015

Details

NPI
1053787366
Entity type
Organization (NPI-2)
Legal business name
Ghozland And Youssef A Medical Corp
Organization subpart
No
Enumeration date
Aug 20, 2015
Last updated
Aug 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes
2086S0122X Surgery, Plastic and Reconstructive Surgery––

Practice location

1551 Ocean Ave
Ste. 200
Santa Monica, CA 90401-2108

Phone 310-434-0044 · Fax 310-434-0099

Mailing address

Po Box 893520
Temecula, CA 92589-3520

Phone 310-434-0044 · Fax 310-434-0099

Authorized official

Mark Youseff
Owner
3104340044

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