Doctor Name: | DR. MATT YOUNG |
NPI Number: | 1043260458 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C36975 |
Business Practice Address: | 7325 Medical Center Dr Suite 200 West Hills, CA - 913071925 |
Business Phone Number: | 8189812050 |
Business Fax Number: | 8189812382 |
Mailing Address: | 7325 Medical Center Dr, Suite 200 WEST HILLS |
State: | CA |
Postal Code: | 913071925 |
Phone Number: | 8189812050 |
Fax Number: | 8189812382 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | C36975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |