Youngblood, Scot Alan

Youngblood, Scot Alan is an individual health care provider with primary practice located at 6719 Alvarado Rd Ste 200 , San Diego CA 92120-5256. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Youngblood, Scot Alan can be contacted via phone (619) 229-3932.

Contact Information

Primary practice address
6719 Alvarado Rd Ste 200 San Diego CA 92120-5256
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2010-00683 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01050473A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X C175024 California
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X C175024 California

Profile Details

NPI number 1982675799
LBN Legal business name Youngblood, Scot Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 6th, 2024 - about 10 months 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 1982675799 NPPES
Indiana Other 01050473A MEDICAL LICENSE

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