Individual
TINA L. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 951-3009
(661) 951-3192
Mailing address
43939 N 15TH STREET WEST, LANCASTER, CA 93534-4708
(661) 951-3009
(661) 951-3192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA000385L
PA
363AM0700X
Medical Physician Assistant
Primary
MA052111
PA
363AM0700X
Medical Physician Assistant
MX003771
PA
Other
Enumeration date
06/09/2006
Last updated
07/21/2022
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