Provider Demographics
NPI:1154416733
Name:S SEAN YOUNAI MD INC
Entity type:Organization
Organization Name:S SEAN YOUNAI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-386-1222
Mailing Address - Street 1:16055 VENTURA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2608
Mailing Address - Country:US
Mailing Address - Phone:818-386-1222
Mailing Address - Fax:818-386-1999
Practice Address - Street 1:16055 VENTURA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2601
Practice Address - Country:US
Practice Address - Phone:818-386-1222
Practice Address - Fax:818-386-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS051460Medicare PIN
CAG69368CMedicare PIN
CAG69368AMedicare PIN
CAG69368DMedicare PIN
CAG69368Medicare PIN
CAG69368BMedicare PIN
CAG60412Medicare UPIN