Provider Demographics
NPI:1093904997
Name:YOUNG, MAILE ANN (MD)
Entity Type:Individual
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First Name:MAILE
Middle Name:ANN
Last Name:YOUNG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9500 GILMAN DR
Mailing Address - Street 2:STEIN CLINICAL RESEARCH BLDG # 304. MAILCODE 0711
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-5004
Mailing Address - Country:US
Mailing Address - Phone:858-552-8585
Mailing Address - Fax:858-822-5362
Practice Address - Street 1:9500 GILMAN DR
Practice Address - Street 2:STEIN CLINICAL RESEARCH BLDG # 304. MAILCODE 0711
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-5004
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:858-822-5362
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2010-06-22
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Provider Licenses
StateLicense IDTaxonomies
CAA93568207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease