Provider Demographics
NPI:1962649483
Name:YOUNG, ROBERT R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:YOUNG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:17260 BEAR VALLEY RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7777
Mailing Address - Country:US
Mailing Address - Phone:760-843-2900
Mailing Address - Fax:760-843-0144
Practice Address - Street 1:17260 BEAR VALLEY RD
Practice Address - Street 2:SUITE 109
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-7777
Practice Address - Country:US
Practice Address - Phone:760-843-2900
Practice Address - Fax:760-843-0144
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2023-11-01
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Provider Licenses
StateLicense IDTaxonomies
CAC267602085R0202X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No174400000XOther Service ProvidersSpecialist