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General NPI Number Information
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NPI Number | 1568440881
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Entity Type | Organization
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Legal Business Name | YOUNG M D AND BOOHAR M D INC
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 170 ALAMEDA DE LAS PULGAS SEQUOIA HOSPITAL RADIATION ONCOLOGY DEPT
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City | REDWOOD CITY
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State | CA
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Zip | 94062
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Country | US
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Telephone | 209-342-2300
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Fax | 209-524-4240
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Provider Business Mailing Address
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Address Line | 450 GLASS LN STE C
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City | MODESTO
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State | CA
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Zip | 95356-9287
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Country | US
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Telephone | 209-342-2300
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Fax | 209-524-4240
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Authorized Official
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Title or Position | PRESIDENT
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Name | C DALE YOUNG
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Credential | MD
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Telephone | 209-342-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 36770
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License Number State | CA
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