Healthcare Provider Details

I. General information

NPI: 1093924052
Provider Name (Legal Business Name): SAWAR CHALUTCH YOUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAWAR CHALUTCH YOUNG-TRIPP M.D.

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 AIRPORT RD
HOOPA CA
95546-9615
US

IV. Provider business mailing address

PO BOX 1288
HOOPA CA
95546-1288
US

V. Phone/Fax

Practice location:
  • Phone: 530-625-4261
  • Fax: 530-625-4872
Mailing address:
  • Phone: 530-625-4261
  • Fax: 530-625-4872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number155890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: