Organization Active NPI

David K. Young, M.D., Inc.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1023223914
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A25872 Issued in CA
Legal business name
DAVID K. YOUNG, M.D., INC.
Practice address
12732 W Washington Blvd Ste C
Los Angeles, CA 90066-2378
Phone
(818) 472-5328
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David K Young
Title
President
Phone
(818) 472-5328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A25872 CA Primary

Addresses

Primary practice location

12732 W Washington Blvd Ste C
Los Angeles, CA 90066-2378

Mailing address

4337 Marina City Dr Unit 649
Marina del Rey, CA 90292-5847
Phone (818) 472-5328

National Provider Directory

National Provider Directory

Locations

1153 Crenshaw Blvd
Fl 2
Los Angeles, CA 90019
Phone (323) 965-9640

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023223914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 MARINA CITY DR UNIT 649",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925847",
            "telephone_number": "818-472-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 W WASHINGTON BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662378",
            "telephone_number": "818-472-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. YOUNG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-472-5328",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A25872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.