Individual
DALE A. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20231 W VALLEY BLVD STE G, TEHACHAPI, CA 93561-6748
(661) 822-1212
Mailing address
20231 W VALLEY BLVD STE G, TEHACHAPI, CA 93561-6748
(661) 822-1212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5799T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0057990
—
CA
Enumeration date
05/24/2005
Last updated
07/08/2007
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