| Jennifer S Young Do, Inc. | |
|
558 N Ventu Park Rd Suite A Thousand Oaks CA 91320-2718 | |
| (805) 498-8265 | |
| (805) 498-3689 |
| Full Name | Jennifer S Young Do, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 558 N Ventu Park Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Jennifer Susan Young (OWNER) |
| Authorized Official Contact | 6265488822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer S Young Do, Inc. 558 N Ventu Park Rd Suite A Thousand Oaks CA 91320-2718 Ph: (805) 498-8265 | Jennifer S Young Do, Inc. 558 N Ventu Park Rd Suite A Thousand Oaks CA 91320-2718 Ph: (805) 498-8265 |
| NPI Number | 1235535659 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 5799001665 |
|---|---|
| Medicare Enrollment ID | O20150629000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235535659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer S Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225359839 PECOS PAC ID: 3577787787 Enrollment ID: I20140626000031 |
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