Healthcare Provider Details

I. General information

NPI: 1649584236
Provider Name (Legal Business Name): YOUNIQUE SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 5TH ST STE 301
SANTA MONICA CA
90401-1459
US

IV. Provider business mailing address

PO BOX 7001
TARZANA CA
91357-7001
US

V. Phone/Fax

Practice location:
  • Phone: 310-434-0044
  • Fax:
Mailing address:
  • Phone: 818-888-7815
  • Fax: 818-715-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberA77473
License Number StateCA

VIII. Authorized Official

Name: DR. MARK M YOUSSEF
Title or Position: CEO
Credential: M.D.
Phone: 310-434-0044