Healthcare Provider Details

I. General information

NPI: 1689507915
Provider Name (Legal Business Name): PAMELA M YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MAIN ST STE F406
HUNTINGTON BEACH CA
92648-8106
US

IV. Provider business mailing address

501 MAIN ST STE F406
HUNTINGTON BEACH CA
92648-8106
US

V. Phone/Fax

Practice location:
  • Phone: 714-477-2200
  • Fax:
Mailing address:
  • Phone: 714-477-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: