Healthcare Provider Details

I. General information

NPI: 1336576933
Provider Name (Legal Business Name): PAUL FRANKLIN YOUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2013
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4859 W EL SEGUNDO BLVD
HAWTHORNE CA
90250-4295
US

IV. Provider business mailing address

14901 INGLEWOOD AVE
LAWNDALE CA
90260-1251
US

V. Phone/Fax

Practice location:
  • Phone: 310-263-4474
  • Fax:
Mailing address:
  • Phone: 310-263-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number126107
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW67243
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: