Young, Barry
Young, Barry is an individual health care provider with primary practice located at 11332 Mountain View Ave Suite A, Loma Linda CA 92354-3854. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Young, Barry can be contacted via phone (909) 796-3707.Contact Information
Primary practice address
11332 Mountain View Ave Suite A
Loma Linda CA 92354-3854
Phone: (909) 796-3707
Fax: (909) 796-3709
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E1961 | California |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E1961 | California |
Profile Details
NPI number | 1093968117 |
---|---|
LBN Legal business name | Young, Barry |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2008 |
Last updated | Nov 3rd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093968117 | NPPES |
California | Other | E1961 | BOARD OF PODIATRIC MEDICINE |
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