Individual
BENNYSON YOUNG SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 988-7004
Mailing address
1809 CRYSTAL VIEW CIR, NEWBURY PARK, CA 91320-4596
(914) 434-6711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
129351
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
129351
CA
207RP1001X
Pulmonary Disease Physician
129351
CA
Other
Enumeration date
06/05/2008
Last updated
02/05/2021
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