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General NPI Number Information
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NPI Number | 1104077114
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Entity Type | Organization
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Legal Business Name | CARLA L. YOUNG, M.D., INC.
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7910 FROST ST SUITE 270
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City | SAN DIEGO
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State | CA
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Zip | 92123-2771
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Country | US
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Telephone | 858-565-4117
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Fax | 858-565-4146
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Provider Business Mailing Address
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Address Line | 7910 FROST ST SUITE 270
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City | SAN DIEGO
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State | CA
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Zip | 92123-2771
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Country | US
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Telephone | 858-565-4117
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Fax | 858-565-4146
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. CARLA LEE YOUNG
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Credential | M.D.
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Telephone | 858-565-4117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | CA
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