Provider Demographics
NPI:1083225759
Name:YOFI MEDICAL SPA INC
Entity Type:Organization
Organization Name:YOFI MEDICAL SPA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANOOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVAHERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-308-5282
Mailing Address - Street 1:30200 AGOURA RD STE 150
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5427
Mailing Address - Country:US
Mailing Address - Phone:818-851-0302
Mailing Address - Fax:818-855-9621
Practice Address - Street 1:30200 AGOURA RD STE 150
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-5427
Practice Address - Country:US
Practice Address - Phone:818-851-0302
Practice Address - Fax:818-855-9621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty