Provider Demographics
NPI:1336305275
Name:YOUNG, JEFFREY LEE (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LEE
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:MC 5341, EDWARDS R105
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-5243
Mailing Address - Fax:
Practice Address - Street 1:730 WELCH RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1503
Practice Address - Country:US
Practice Address - Phone:650-497-8263
Practice Address - Fax:650-497-8891
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2024-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA116783207X00000X, 207XP3100X
IL036118650207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery