Provider Demographics
NPI:1811917032
Name:YOUNG, GUILLERMO ARTURO (MD)
Entity type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:ARTURO
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1300 N VERMONT AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6005
Mailing Address - Country:US
Mailing Address - Phone:323-953-9926
Mailing Address - Fax:323-953-9352
Practice Address - Street 1:1300 N VERMONT AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6005
Practice Address - Country:US
Practice Address - Phone:323-953-9926
Practice Address - Fax:323-953-9352
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2011-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA251822080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A251820Medicaid
CA00A251820Medicaid
CAA83192Medicare UPIN