YOUNIQUE SURGERY CENTER (NPI# 1083255616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083255616 |
| Entity Type | Organization |
| Organization Name | YOUNIQUE SURGERY CENTER |
| Other Organization Name | YOUNIQUE SURGERY CENTER SANTA MONICA |
| Practice Address |
1317 5th St Ste 301 Santa Monica CA 90401-1459 |
| Mailing Address |
1317 5th St Ste 300 Santa Monica CA 90401-1433 |
| Practice Telephone | 3104340099 |
| Practice Fax Number | 7144642222 |
| Mailing Telephone | 3104340099 |
| Mailing Fax Number | 7144642222 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MARK MAGDY YOUSSEF (OWNER MANAGING EMPLOYEE) |
| Authorized Official Telephone | 3104340044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | YOUNIQUE SURGERY CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | 1317 | 01 |
| Other Name | Type Code |
|---|---|
| Younique Surgery Center Santa Monica | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649584236 | Younique Surgery Center | Clinic/Center | 1551 Ocean Ave Ste 200, Santa Monica, CA 90401-2110 | 2010-08-06 |
| Street Address |
1317 5TH ST STE 301 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972642 | Santa Monica Advanced Surgical Institute LLC | Clinic/Center | 1908 Santa Monica Blvd Ste 5, Santa Monica, CA 90404-1927 | 2019-10-07 |
| 1558802249 | Source Surgery Center LLC | Clinic/Center | 2801 Wilshire Blvd, Santa Monica, CA 90403-4801 | 2017-03-14 |
| 1912369703 | Select Surgical, A Medical Corporation | Clinic/Center | 1223 Wilshire Blvd Ste 594, Santa Monica, CA 90403-5406 | 2016-03-22 |
| 1144502170 | Omega Surgical Center, Inc. | Clinic/Center | 2730 Wilshire Blvd Ste 500, Santa Monica, CA 90403-4752 | 2011-09-15 |
| 1235376674 | Core Surgery Center Inc | Clinic/Center | 2336 Santa Monica Blvd Ste 304, Santa Monica, CA 90404-2067 | 2009-01-07 |
| 1053556670 | Santa Monica Outpatient Surgery Center | Clinic/Center | 2001 Santa Monica Blvd., Suite 1180w, Santa Monica, CA 90404 | 2008-12-10 |
| 1679694392 | Directed Interventional Surgery Ctr Inc A Professional Medical Corp | Clinic/Center | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 | 2007-04-02 |
| 1578605044 | Broadway Surgical Institute, LLC | Clinic/Center | 1451 S Broadway Street, Santa Monica, CA 90404-1811 | 2007-02-13 |
| 1740335744 | Aesthetic Surgical Center of Santa Monica | Clinic/Center | 1301 20th St Ste 350, Santa Monica, CA 90404-2052 | 2007-01-23 |
| 1427692037 | Biohealth Surgical Institute | Clinic/Center | 1451 Broadway, Santa Monica, CA 90404-2711 | 2019-11-06 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on YOUNIQUE SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.