Individual
CLARENCE DALE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(209) 342-2300
(209) 524-4240
Mailing address
450 GLASS LN STE C, MODESTO, CA 95356-9287
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A68208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A682080
BLUE SHIELD
CA
05
—
00A682080
—
CA
Enumeration date
11/02/2005
Last updated
09/20/2024
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