MEDICARE: PAUL FRANKLIN 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
1	1041C0700X	Clinical Social Worker	126107	CA
2	101YM0800X	Mental Health Counselor	ASW67243	CA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1336576933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL FRANKLIN YOUNG

Provider Business Mailing Address
First Line	:	14901 INGLEWOOD AVE
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-1251
Country	:	US
Telephone Number	:	310-263-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	4859 W EL SEGUNDO BLVD
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-4295
Country	:	US
Telephone Number	:	310-263-4474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	06/03/2026

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Directions to “ PAUL FRANKLIN YOUNG ” Practice Location

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