Healthcare Provider Details

I. General information

NPI: 1659427243
Provider Name (Legal Business Name): ROBERT LINDSAY YOUNG MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2773 HARRIS ST STE D
EUREKA CA
95503-4866
US

IV. Provider business mailing address

2773 HARRIS ST STE D
EUREKA CA
95503-4866
US

V. Phone/Fax

Practice location:
  • Phone: 707-443-3354
  • Fax: 707-443-3356
Mailing address:
  • Phone: 707-443-3354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC193599
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberC193599
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: