Basic Information
Provider Information
NPI: 1417337452
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOUNES
FirstName: RAMEE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5767 W CENTURY BLVD STE 400
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900455631
CountryCode: US
TelephoneNumber: 3103018771
FaxNumber: 3103018751
Practice Location
Address1: 15503 VENTURA BLVD STE 340
Address2:  
City: ENCINO
State: CA
PostalCode: 914363132
CountryCode: US
TelephoneNumber: 8184618148
FaxNumber: 8184618105
Other Information
ProviderEnumerationDate: 06/04/2015
LastUpdateDate: 10/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RI0200XA144497CAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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