Healthcare Provider Details

I. General information

NPI: 1790981678
Provider Name (Legal Business Name): EARL S. YOUNG, MD, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BELLEFONTAINE ST STE 206
PASADENA CA
91105-3132
US

IV. Provider business mailing address

50 BELLEFONTAINE ST STE 206
PASADENA CA
91105-3132
US

V. Phone/Fax

Practice location:
  • Phone: 626-578-7557
  • Fax: 626-394-0625
Mailing address:
  • Phone: 626-578-7557
  • Fax: 626-394-0625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG36793
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG36793
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberG36793
License Number StateCA

VIII. Authorized Official

Name: DR. EARL S YOUNG
Title or Position: PRESIDENT
Credential: MD
Phone: 626-578-7557