Individual
KRISTAL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 EAST CALIFORNIA BLVD, THRID FLOOR, PASADENA, CA 91105-3944
(626) 793-1227
(626) 793-3794
Mailing address
55 EAST CALIFORNIA BLVD, THIRD FLOOR, PASADENA, CA 91105-3944
(626) 793-1227
(626) 793-3794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02011
RI
207RC0000X
Cardiovascular Disease Physician
Primary
A142473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A142473
STATE LICENSE
CA
Enumeration date
06/03/2010
Last updated
05/24/2016
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