Healthcare Provider Details

I. General information

NPI: 1295656866
Provider Name (Legal Business Name): ATLAS MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 VELOZ AVE
TARZANA CA
91356-4128
US

IV. Provider business mailing address

5320 VELOZ AVE
TARZANA CA
91356-4128
US

V. Phone/Fax

Practice location:
  • Phone: 917-710-5996
  • Fax:
Mailing address:
  • Phone: 917-710-5996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: YONESS DAROUICHI
Title or Position: OWNER
Credential: MD
Phone: 908-917-1715