Provider Demographics
NPI:1629111208
Name:YOUNG, EUGENE Y (DO)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:Y
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5282
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-0282
Mailing Address - Country:US
Mailing Address - Phone:626-625-6646
Mailing Address - Fax:562-697-8027
Practice Address - Street 1:153 E WHITTIER BLVD STE D
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3885
Practice Address - Country:US
Practice Address - Phone:626-625-6646
Practice Address - Fax:626-202-1273
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A68792084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry