Individual
BENITA KHO YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 SHEPARD DR, STE 103, SANTA MARIA, CA 93454-7020
(805) 922-0439
(805) 922-8219
Mailing address
1505 S SHEPARD DR, STE 103, SANTA MARIA, CA 93454
(805) 922-0439
(805) 922-8219
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A35719
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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