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General NPI Number Information
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NPI Number | 1033751540
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Entity Type | Organization
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Legal Business Name | GUILLERMO A. YOUNG, MD INC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE STE 402
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City | LOS ANGELES
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State | CA
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Zip | 90027-6086
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Country | US
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Telephone | 323-953-9926
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Fax | 323-953-9352
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Provider Business Mailing Address
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Address Line | 1300 N VERMONT AVE STE 402
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City | LOS ANGELES
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State | CA
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Zip | 90027-6086
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Country | US
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Telephone | 323-953-9926
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Fax | 323-953-9352
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Authorized Official
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Title or Position | MANAGER
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Name | MARIA LUISA YOUNG
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Credential |
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Telephone | 323-953-9926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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