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Individual

ERIKA YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17582
CA
363LF0000X
Family Nurse Practitioner
17582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902846306
GROUP NPI
CA
01
GR0100430
GROUP MEDI-CAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
11/09/2007
Last updated
08/28/2012
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