Provider Demographics
NPI:1669674933
Name:YOUNES, BASIL (DO)
Entity Type:Individual
Prefix:DR
First Name:BASIL
Middle Name:
Last Name:YOUNES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4201 TORRANCE BLVD.
Mailing Address - Street 2:SUIT 420
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:310-540-1953
Mailing Address - Fax:310-792-1974
Practice Address - Street 1:4201 TORRANCE BLVD.
Practice Address - Street 2:SUITE 420
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-540-1953
Practice Address - Fax:310-792-1974
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9791207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGQ916YMedicare PIN