Individual
STEVEN R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCO BOARD CERTIFIED
Contact information
Practice address
411 30TH STREET, STE 512, OAKLAND, CA 94609-3303
(510) 836-2123
(510) 836-0383
Mailing address
411 30TH STREET, STE 512, OAKLAND, CA 94609-3303
(510) 836-2123
(510) 836-0383
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ76594Z
—
CA
Enumeration date
11/29/2006
Last updated
12/03/2007
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