MEDICARE: DR. BENJAMIN B.C. YOUNG M.D.

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
1	2084P0800X	Psychiatry Physician	3213	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427118751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN B.C. YOUNG M.D.

Provider Business Mailing Address
First Line	:	387 AUWINALA RD
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-3434
Country	:	US
Telephone Number	:	808-261-9959
Fax Number	:	808-261-4540

Provider Business Practice Location Address
First Line	:	1188 BISHOP ST
Second Line	:	#3306
City	:	HONOLULU
State	:	HI
Zip	:	96813-3301
Country	:	US
Telephone Number	:	808-779-6401
Fax Number	:	808-261-4540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. BENJAMIN B.C. YOUNG M.D.” Practice Location

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