| Jeffrey C. Young, D.o. Inc | |
|
416 W Las Tunas Dr Ste 205 San Gabriel CA 91776-1236 | |
| (626) 571-7958 | |
| (626) 571-7293 |
| Full Name | Jeffrey C. Young, D.o. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 416 W Las Tunas Dr Ste 205, San Gabriel, California |
| Authorized Official Name and Position | Jeffrey C Young (CEO) |
| Authorized Official Contact | 6265717958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Young, D.o. Inc 416 W Las Tunas Dr Ste 205 San Gabriel CA 91776-1236 Ph: (626) 571-7958 | Jeffrey C. Young, D.o. Inc 416 W Las Tunas Dr Ste 205 San Gabriel CA 91776-1236 Ph: (626) 571-7958 |
| NPI Number | 1982910667 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 09/07/2022 |
| Medicare PECOS PAC ID | 1759573975 |
|---|---|
| Medicare Enrollment ID | O20101006000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982910667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6648 (California) | Primary |
| Provider Name | Jeffrey C Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376630616 PECOS PAC ID: 2668664889 Enrollment ID: I20101007000173 |
| Provider Name | Nancy Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235795790 PECOS PAC ID: 8820490378 Enrollment ID: I20220922000251 |
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