Organization Active NPI

Harding G. Young, MD, Inc.

  • Family Medicine Physician
  • Lynwood, CA
National Provider Identifier
1154415925
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HARDING G. YOUNG, MD, INC.
Practice address
3617 Martin Luther King Jr Blvd
Suite 1
Lynwood, CA 90262-3504
Phone
(310) 631-2660
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Harding G Young, MDNPI 1881788669
Title
Owner
Phone
(310) 631-2660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3617 Martin Luther King Jr Blvd
Suite 1
Lynwood, CA 90262-3504

Mailing address

3617 Martin Luther King Jr Blvd
Suite 1
Lynwood, CA 90262-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726001223 CA Part B Supplier - Clinic/Group Practice 1355378845 Receives reassigned benefits from 1 practitioner
Practice locations: Lynwood, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0974792Harding G Young MD Inc3617 E Martin Luther King Blvd Ste 1, Lynwood, CA 90262Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

3617 Martin Luther King Jr Blvd
Ste 2
Lynwood, CA 90262
Phone (310) 631-2660

3628 E Imperial Hwy
Ste 302
Lynwood, CA 90262
Phone (310) 631-2660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1154415925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 1",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 1",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623504",
            "telephone_number": "310-631-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDING G. YOUNG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "HARDING",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-631-2660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.