Individual
DR. RICHARD YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767
(909) 450-0369
Mailing address
255 E BONITA AVE BLDG 9, POMONA, CA 91767-1923
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A141997
CA
2085R0204X
Vascular & Interventional Radiology Physician
A141997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP0600324-RY505
CONTROLLED SUBSTANCE #
—
Enumeration date
06/16/2009
Last updated
03/07/2023
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