Healthcare Provider Details

I. General information

NPI: 1518992015
Provider Name (Legal Business Name): YUSSEF SAKHAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5797 WASHINGTON BLVD
CULVER CITY CA
90232-7336
US

IV. Provider business mailing address

5797 WASHINGTON BLVD
CULVER CITY CA
90232-7336
US

V. Phone/Fax

Practice location:
  • Phone: 323-653-3500
  • Fax: 323-413-2068
Mailing address:
  • Phone: 323-653-3500
  • Fax: 323-413-2068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA38942
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: