Individual
DR. CORINNE JEAN ANCONA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942-3187
(619) 270-4388
(619) 937-3767
Mailing address
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942-3187
(619) 270-4388
(619) 937-3767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6337
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2428935
—
CA
Enumeration date
07/19/2006
Last updated
12/15/2020
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