Organization Name: | DAVID K. YOUNG, M.D., INC. |
NPI Number: | 1023223914 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID K YOUNG (PRESIDENT) |
Mailing Address: | 12732 W Washington Blvd Ste C Los Angeles |
State: | CA US |
Postal Code: | 900662378 |
Phone Number: | 8184725328 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A25872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |