Individual
MR. THOMAS R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 RESERVOIR DRIVE, SUITE 112, SAN DIEGO, CA 92120-5195
(619) 287-7060
(619) 287-7078
Mailing address
5555 RESERVOIR DRIVE, SUITE 112, SAN DIEGO, CA 92120-5195
(619) 287-7060
(619) 287-7078
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G69189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G691891
—
CA
Enumeration date
11/14/2006
Last updated
07/08/2007
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