Organization
STEVEN R. YOUNG, OCULARIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R. YOUNG B.C.O. (OCULARIST/OWNER)
(510) 836-2123
Entity
Organization
Contact information
Practice address
411 30TH ST, SUITE 512, OAKLAND, CA 94609-3301
(510) 836-2123
(510) 836-0383
Mailing address
411 30TH ST, SUITE 512, OAKLAND, CA 94609-3301
(510) 836-2123
(510) 836-0383
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ76594Z
—
CA
Enumeration date
12/10/2007
Last updated
12/10/2007
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