Provider Demographics
NPI:1437440047
Name:YOUNG, KARI LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:LEIGH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23101 LAKE CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-2882
Mailing Address - Country:US
Mailing Address - Phone:714-904-9454
Mailing Address - Fax:
Practice Address - Street 1:23101 LAKE CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-2882
Practice Address - Country:US
Practice Address - Phone:714-904-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor