MEDICARE: JENNIFER YOUNG OH L.C.S.W.

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1831386176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER YOUNG OH L.C.S.W.

Provider Business Mailing Address
First Line	:	3727 W 6TH ST STE 320
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-5108
Country	:	US
Telephone Number	:	213-235-4840
Fax Number	:

Provider Business Practice Location Address
First Line	:	3727 W 6TH ST STE 320
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-5108
Country	:	US
Telephone Number	:	213-235-4840
Fax Number	:

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

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	03/09/2021

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