Provider Demographics
NPI:1659337228
Name:YOOSUFANI, ZAHIDA A (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAHIDA
Middle Name:A
Last Name:YOOSUFANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 BUCKINGHAM PKWY UNIT 22
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6883
Mailing Address - Country:US
Mailing Address - Phone:215-600-8933
Mailing Address - Fax:
Practice Address - Street 1:502 TORRANCE BLVD
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3413
Practice Address - Country:US
Practice Address - Phone:310-316-0811
Practice Address - Fax:310-543-9621
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-00717602085B0100X, 207U00000X, 208000000X, 2085R0202X, 2085U0001X
CAC050085207U00000X, 208000000X, 2085R0202X, 2085U0001X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound