Provider Demographics
NPI:1467814665
Name:YOUNG, ALBERT (DO)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6378 JOAQUIN MURIETA AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5455
Mailing Address - Country:US
Mailing Address - Phone:626-628-5686
Mailing Address - Fax:415-750-8149
Practice Address - Street 1:6378 JOAQUIN MURIETA AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5455
Practice Address - Country:US
Practice Address - Phone:626-628-5686
Practice Address - Fax:415-750-8149
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-26
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A16192208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice