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NPI Code Detail

MEDICARE: DR. JANAE YOUNG

MEDICARE:  DR. JANAE  YOUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist303672CA

General Provider Information

NPI Number : 1225735277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANAE YOUNG
Provider Business Mailing Address
First Line : 4101 INNOVATOR DR APT 1231
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-3868
Country : US
Telephone Number : 916-670-0520
Fax Number :
Provider Business Practice Location Address
First Line : 10471 GRANT LINE RD STE 130
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-5042
Country : US
Telephone Number : 916-750-4555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2023
Last Update Date : 02/09/2023

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Directions to “ DR. JANAE YOUNG ” Practice Location

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