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NPI Code Detail

MEDICARE: DR. SCOT ALAN YOUNGBLOOD M.D.

MEDICARE:  DR. SCOT ALAN YOUNGBLOOD  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
1207X00000XOrthopaedic Surgery Physician2010-00683NC
2207X00000XOrthopaedic Surgery Physician01050473AIN
3207XX0004XOrthopaedic Foot and Ankle Surgery PhysicianC175024CA
4207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianC175024CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101050473AOTHERINMEDICAL LICENSE

General Provider Information

NPI Number : 1982675799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOT ALAN YOUNGBLOOD M.D.
Provider Business Mailing Address
First Line : 9095 RIO SAN DIEGO DR STE 450
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1726
Country : US
Telephone Number : 619-853-8860
Fax Number :
Provider Business Practice Location Address
First Line : 9095 RIO SAN DIEGO DR STE 450
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1726
Country : US
Telephone Number : 619-853-8860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 12/05/2025

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Directions to “ DR. SCOT ALAN YOUNGBLOOD M.D.” Practice Location

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