Individual
DR. SCOT ALAN YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9095 RIO SAN DIEGO DR STE 450, SAN DIEGO, CA 92108-1726
(619) 853-8860
Mailing address
9095 RIO SAN DIEGO DR STE 450, SAN DIEGO, CA 92108-1726
(619) 853-8860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01050473A
IN
207X00000X
Orthopaedic Surgery Physician
2010-00683
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
C175024
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
C175024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01050473A
MEDICAL LICENSE
IN
Enumeration date
01/30/2006
Last updated
12/05/2025
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