Provider Demographics
NPI:1609531656
Name:DAVID V. YOUNG CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:DAVID V. YOUNG CHIROPRACTIC INC.
Other - Org Name:DELTA FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-676-9300
Mailing Address - Street 1:3161 CAMERON PARK DR STE 104
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-7977
Mailing Address - Country:US
Mailing Address - Phone:530-676-9300
Mailing Address - Fax:530-676-1783
Practice Address - Street 1:3161 CAMERON PARK DR STE 104
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-7977
Practice Address - Country:US
Practice Address - Phone:530-676-9300
Practice Address - Fax:530-676-1783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty