Provider Demographics
NPI:1245401272
Name:YOUNG, RANDALL S (CO)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:S
Last Name:YOUNG
Suffix:
Gender:M
Credentials:CO
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Mailing Address - Street 1:7720 CARDINAL CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-3333
Mailing Address - Country:US
Mailing Address - Phone:858-292-7449
Mailing Address - Fax:858-292-5496
Practice Address - Street 1:26440 LA ALAMEDA
Practice Address - Street 2:SUITE 320
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6304
Practice Address - Country:US
Practice Address - Phone:949-367-6600
Practice Address - Fax:949-367-6617
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist