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NPI Code Detail

MEDICARE: AMBER YOUNG

MEDICARE:   AMBER  YOUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerCA

General Provider Information

NPI Number : 1164266524
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER YOUNG
Provider Business Mailing Address
First Line : 13027 BURNS LN
Second Line :
City : REDLANDS
State : CA
Zip : 92373-7415
Country : US
Telephone Number : 909-362-7463
Fax Number :
Provider Business Practice Location Address
First Line : 11374 MOUNTAIN VIEW AVE STE DE
Second Line :
City : LOMA LINDA
State : CA
Zip : 92354-3815
Country : US
Telephone Number : 909-558-6832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 06/20/2024

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Directions to “ AMBER YOUNG ” Practice Location

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