Young, Shaun D

Young, Shaun D is an individual health care provider with primary practice located at 8901 Activity Road , San Diego CA 92126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Young, Shaun D can be contacted via phone (858) 571-0606.

Contact Information

Primary practice address
8901 Activity Road San Diego CA 92126
Phone: (858) 571-0606
Fax: (858) 571-1933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18771 California

Profile Details

NPI number 1538214515
LBN Legal business name Young, Shaun D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 15th, 2015 - about 9 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 1538214515 NPPES
Other W17163 MEDICARE GROUP NUMBER
Other WPA18771A MEDICARE GROUP NUMBER
Other W17163 MEDICARE GROUP NUMBER

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