Individual
DR. ANDREW GINN BONG YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOPPIN ST STE 202, PROVIDENCE, RI 02903-4141
(401) 444-6551
Mailing address
4 LA LINDA DR, LONG BEACH, CA 90807-3306
(310) 415-3676
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD16400
RI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD16400
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A898610
—
CA
Enumeration date
06/05/2006
Last updated
06/30/2021
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