Provider Demographics
NPI:1881706661
Name:YOUNIS, SAMIR M (RPT)
Entity type:Individual
Prefix:MR
First Name:SAMIR
Middle Name:M
Last Name:YOUNIS
Suffix:
Gender:M
Credentials:RPT
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Mailing Address - Street 1:11525 BROOKSHIRE AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241
Mailing Address - Country:US
Mailing Address - Phone:562-861-0972
Mailing Address - Fax:562-862-6949
Practice Address - Street 1:11525 BROOKSHIRE AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241
Practice Address - Country:US
Practice Address - Phone:562-861-0972
Practice Address - Fax:562-862-6949
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT12834208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation