| Douglas Young Clinic | |
|
10717 Camino Ruiz Suite 207 San Diego CA 92126-2360 | |
| (858) 695-2211 | |
| (858) 695-3521 |
| Full Name | Douglas Young Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10717 Camino Ruiz, San Diego, California |
| Authorized Official Name and Position | Bob Marchetti (CFO) |
| Authorized Official Contact | 6192750822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Young Clinic 10717 Camino Ruiz Suite 207 San Diego CA 92126-2360 Ph: (858) 695-2211 | Douglas Young Clinic 10717 Camino Ruiz Suite 207 San Diego CA 92126-2360 Ph: (858) 695-2211 |
| NPI Number | 1881717304 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881717304 | NPI | - | NPPES |
| 3708 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3708 (California) | Primary |
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