Young, Kelly

Young, Kelly is an individual health care provider with primary practice located at 1000 W Carson St Box 480, Torrance CA 90502-2004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Young, Kelly can be contacted via phone (310) 222-3501.

Contact Information

Primary practice address
1000 W Carson St Box 480 Torrance CA 90502-2004
Phone: (310) 222-3501
Fax: (310) 782-1763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X G75667 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X G75667 California

Profile Details

NPI number 1831231810
LBN Legal business name Young, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 13th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831231810 NPPES
California MEDICAID 00G756670

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