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NPI Code Detail

MEDICARE: EMILY KATHERINE YOUNG PA-C

MEDICARE: EMILY KATHERINE YOUNG PA-C
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
1363AM0700XMedical Physician AssistantPA22755CA
2363A00000XPhysician AssistantPA22755CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA22755OTHERCASTATE OF CALIFORNIA PHYSICIAN ASSISTANT COMMITTEE

General Provider Information

NPI Number : 1194067181
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KATHERINE YOUNG PA-C
Provider Business Mailing Address
First Line : 1700 N ROSE AVE STE 320
Second Line :
City : OXNARD
State : CA
Zip : 93030-7648
Country : US
Telephone Number : 805-485-8709
Fax Number : 805-485-5521
Provider Business Practice Location Address
First Line : 1700 N ROSE AVE STE 320
Second Line :
City : OXNARD
State : CA
Zip : 93030-7648
Country : US
Telephone Number : 805-485-8709
Fax Number : 805-485-5521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2013
Last Update Date : 10/14/2025

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Directions to “ EMILY KATHERINE YOUNG PA-C” Practice Location

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