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Individual

ROSABEL R YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.S. PHARM.

Contact information

Practice address
16 E FERN AVE STE D, REDLANDS, CA 92373
(310) 680-0304
(310) 680-0305
Mailing address
PO BOX 9536, REDLANDS, CA 92375-2736
(909) 557-8727
(909) 335-8514

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
988230
CA
2084N0400X
Neurology Physician
G64157
CA
2084N0600X
Clinical Neurophysiology Physician
762
IL
2084N0600X
Clinical Neurophysiology Physician
Primary
G64157
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
037607
IL
208U00000X
Clinical Pharmacology Physician
G64157
CA
209800000X
Legal Medicine (M.D./D.O.) Physician
988230
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G641570
BLUE SHIELD
CA
05
00G641570
CA
01
180519600
OWCP
CA
01
P00011946
RAILROAD MEDICARE
CA
Enumeration date
08/21/2006
Last updated
05/31/2018
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