Young, Nancy D

Young, Nancy D is an sole proprietor health care provider with primary practice located at 3505 Cadillac Ave Bldg O, Suite 109, Costa Mesa CA 92626-1429. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Young, Nancy D can be contacted via phone (714) 432-9856.

Contact Information

Primary practice address
3505 Cadillac Ave Bldg O, Suite 109 Costa Mesa CA 92626-1429
Phone: (714) 432-9856
Fax: (714) 432-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 11961 California

Profile Details

NPI number 1205862224
LBN Legal business name Young, Nancy D
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Apr 15th, 2017 - about 7 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 1205862224 NPPES
California Other OPL 119610 BLUE SHIELD OF CALIFORNIA

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