Individual
KELLY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST, BOX 480, TORRANCE, CA 90502-2004
(310) 222-3501
(310) 782-1763
Mailing address
1000 W CARSON ST, BOX 480, TORRANCE, CA 90502-2004
(310) 222-3501
(310) 782-1763
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
G75667
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G75667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G756670
—
CA
Enumeration date
02/13/2007
Last updated
12/13/2021
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