Healthcare Provider Details

I. General information

NPI: 1164003547
Provider Name (Legal Business Name): KARIS YERIN JOUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2021
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4022 CHICAGO AVE
RIVERSIDE CA
92507-5340
US

IV. Provider business mailing address

495 E RINCON ST STE 215
CORONA CA
92879-1378
US

V. Phone/Fax

Practice location:
  • Phone: 855-505-7467
  • Fax: 888-975-8926
Mailing address:
  • Phone: 951-523-0117
  • Fax: 951-475-7013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA197927
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: