Individual
STEPHANIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(714) 919-8836
Mailing address
PO BOX 5989, ORANGE, CA 92863-5989
(747) 276-3049
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A152532
CA
2086X0206X
Surgical Oncology Physician
Primary
A152532
CA
208C00000X
Colon & Rectal Surgery Physician
A152532
CA
Other
Enumeration date
04/09/2016
Last updated
08/15/2023
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