Individual
DR. JASON J DE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHARM.D.
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(858) 528-7266
(858) 528-6161
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(858) 528-7266
(858) 528-6161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00039239
WA
207L00000X
Anesthesiology Physician
Primary
A112228
CA
207L00000X
Anesthesiology Physician
MD155033
OR
Other
Enumeration date
07/27/2006
Last updated
02/04/2022
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