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1952346801 NPI number — YOUNG PROSTHETICS OTHOTICS, INC.

NPI Number: 1952346801
Health Care Provider/Practitioner: YOUNG PROSTHETICS OTHOTICS, INC.

Information about “1952346801” NPI (YOUNG PROSTHETICS OTHOTICS, INC.) exists in 1952346801 in HTML format HTML  |  1952346801 in plain Text format TXT  |  1952346801 in PDF (Portable Document Format) PDF  |  1952346801 in an XML format XML  formats.

NPI Number : 1952346801 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952346801",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "YOUNG PROSTHETICS OTHOTICS, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "516 S BEACH BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANAHEIM",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92804-1811",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-220-9352",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "516 S BEACH BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANAHEIM",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92804-1811",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-220-9352",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/17/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OH",
    "AuthorizedOfficialFirstName": "YONG",
    "AuthorizedOfficialMiddleName": "YEOL",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "C.P.O.",
    "AuthorizedOfficialTelephoneNumber": "714-220-9352",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "103572",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "CPO02341",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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