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Organization
TIMOTHY M YOUNG M D INC
Active
Organization
TIMOTHY M YOUNG M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY M YOUNG M.D. (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
9190 HAVEN AVE, SUITE 240, RANCHO CUCAMONGA, CA 91730-5431
(909) 484-8661
(949) 588-2199
Mailing address
5 HOLLAND, SUITE 101, IRVINE, CA 92618-2566
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A858910
—
CA
Enumeration date
07/14/2006
Last updated
04/08/2015
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