Provider Demographics
NPI:1942707344
Name:YOUNG, JEFFREY H (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:H
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24268 EL TORO RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-3435
Mailing Address - Country:US
Mailing Address - Phone:877-696-3622
Mailing Address - Fax:
Practice Address - Street 1:41 CREEK RD # 310
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4724
Practice Address - Country:US
Practice Address - Phone:949-990-4637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A18923207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine