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Shaun D Young, PA
Surgical Physician Assistant in San Diego, California
NPI 1538214515

Shaun D Young is a Surgical Physician Assistant based in San Diego, CA and is specialized in Surgical. Shaun D Young practices in San Diego, CA and has the professional credentials of PA. The NPI Number for Shaun D Young is 1538214515 and holds a License No. PA18771 (California).

The current practice location address for Shaun D Young is 8901 Activity Road, San Diego, CA and can be reached out via phone at 858-571-0606 and via fax at 858-571-1933. You can also correspond with Shaun D Young through the mailing address at 8901 ACTIVITY ROAD, SAN DIEGO, CA - 92126 (mailing address contact number: 858-571-0606).

Location: 8901 Activity Road, San Diego, CA, 92126
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Provider Profile Details
NPI Number
1538214515
Provider Name
Shaun D Young
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
8901 Activity Road, San Diego, CA, 92126
Phone Number
858-571-0606
Fax Number
858-571-1933
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W17163 01 MEDICARE GROUP NUMBER
WPA18771A 01 MEDICARE PROVIDER ID
W17163 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
8901 Activity Road
City
State
Zip
92126
Phone Number
858-571-0606
Fax Number
858-571-1933
person
Provider Business Mailing Address Details
Address
8901 Activity Road
City
State
Zip
92126
Phone Number
858-571-0606
Fax Number
858-571-1933
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA18771 (California)
Definition
Definition to come...
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