MEDICARE: YUNG MEDICAL GROUP

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1659215796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YUNG MEDICAL GROUP

Provider Business Mailing Address
First Line	:	4660 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4450
Country	:	US
Telephone Number	:	612-636-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	4660 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4450
Country	:	US
Telephone Number	:	612-636-7337
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GULED MOHAMOUD
Credential	:
Telephone Number	:	612-636-7337

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “YUNG MEDICAL GROUP ” Practice Location

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