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NPI Code Detail

MEDICARE: DAMIEN ANDREW LEE YOUNG MD

MEDICARE: DAMIEN ANDREW LEE YOUNG MD
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
12084P0800XPsychiatry PhysicianA174892CA

General Provider Information

NPI Number : 1538655808
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMIEN ANDREW LEE YOUNG MD
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 514 N PROSPECT AVE STE 300
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3037
Country : US
Telephone Number : 855-501-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2018
Last Update Date : 05/27/2026

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