Provider Demographics
NPI:1184048134
Name:YOUNG N. PAIK, M.D. INC.
Entity type:Organization
Organization Name:YOUNG N. PAIK, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERACCINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-327-1425
Mailing Address - Street 1:2619 F ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1815
Mailing Address - Country:US
Mailing Address - Phone:661-327-1425
Mailing Address - Fax:661-327-1225
Practice Address - Street 1:2619 F ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1815
Practice Address - Country:US
Practice Address - Phone:661-327-1425
Practice Address - Fax:661-327-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31815207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty