Provider Demographics
NPI:1770694069
Name:YOUNAI, SOHEIL SEAN (MD)
Entity type:Individual
Prefix:DR
First Name:SOHEIL
Middle Name:SEAN
Last Name:YOUNAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16055 VENTURA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2601
Mailing Address - Country:US
Mailing Address - Phone:818-386-1222
Mailing Address - Fax:818-386-1999
Practice Address - Street 1:16055 VENTURA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2601
Practice Address - Country:US
Practice Address - Phone:818-386-1222
Practice Address - Fax:818-386-1999
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69368207YX0007X, 208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G60412Medicare UPIN
CAG69368AMedicare PIN
CABD571AMedicare PIN
CAG69368DMedicare PIN
CAS051460Medicare PIN
CAG69368CMedicare PIN
CAG69368Medicare PIN
CAG69368BMedicare PIN