Healthcare Provider Details

I. General information

NPI: 1295663417
Provider Name (Legal Business Name): KRISTEN HSI YOUNG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 NELSON RISING LN APT 614
SAN FRANCISCO CA
94158-2296
US

IV. Provider business mailing address

525 NELSON RISING LN APT 614
SAN FRANCISCO CA
94158-2296
US

V. Phone/Fax

Practice location:
  • Phone: 650-455-7912
  • Fax: 650-455-7912
Mailing address:
  • Phone: 650-455-7912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number109769
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: