Provider Demographics
NPI:1508488933
Name:YOUNG, TRIFFINIE LOLENE (MD)
Entity Type:Individual
Prefix:DR
First Name:TRIFFINIE
Middle Name:LOLENE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8149 LA ALMENDRA WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5560
Mailing Address - Country:US
Mailing Address - Phone:916-262-6927
Mailing Address - Fax:
Practice Address - Street 1:8149 LA ALMENDRA WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5560
Practice Address - Country:US
Practice Address - Phone:916-262-6927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZPEJ341667207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine