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General NPI Number Information
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NPI Number | 1023223914
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Entity Type | Organization
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Legal Business Name | DAVID K. YOUNG, M.D., INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12732 W WASHINGTON BLVD STE C
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City | LOS ANGELES
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State | CA
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Zip | 90066-2378
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Country | US
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Telephone | 818-472-5328
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Fax |
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Provider Business Mailing Address
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Address Line | 4337 MARINA CITY DR UNIT 649
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5847
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Country | US
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Telephone | 818-472-5328
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID K YOUNG
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Credential |
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Telephone | 818-472-5328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A25872
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License Number State | CA
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