Individual
BENJAMIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55514
CA
Other
Enumeration date
04/23/2018
Last updated
12/05/2018
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