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
Phone: (619) 229-3932
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982675799 | NPPES |
Indiana | Other | 01050473A | MEDICAL LICENSE |
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