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NPI Code Detail

MEDICARE: SE YOUNG JU M.D.

MEDICARE: SE YOUNG JU 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
1207R00000XInternal Medicine PhysicianA139045CA

General Provider Information

NPI Number : 1811332877
Entity Type Code : Individual
Provider Name (Legal Business Name) : SE YOUNG JU M.D.
Provider Business Mailing Address
First Line : PO BOX 276950
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-6950
Country : US
Telephone Number : 650-853-2977
Fax Number :
Provider Business Practice Location Address
First Line : 795 EL CAMINO REAL
Second Line :
City : PALO ALTO
State : CA
Zip : 94301-2302
Country : US
Telephone Number : 650-853-2977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2013
Last Update Date : 04/06/2026

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Directions to “ SE YOUNG JU M.D.” Practice Location

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