John K. Young, D.O., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

204969 Issued in CA

Legal business name

JOHN K. YOUNG, D.O., INC.

Practice address

1230 E Carson St
Long Beach, CA 90807-3031

Phone

(562) 424-7723

Fax

(562) 427-4999

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John K Young, D.O.NPI 1477638898

Title

Practice Owner

Phone

(562) 424-7723

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• John K Young, D.O.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1477638898
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356469159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073031",
            "telephone_number": "562-424-7723",
            "fax_number": "562-427-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073031",
            "telephone_number": "562-424-7723",
            "fax_number": "562-427-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K. YOUNG, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "562-424-7723",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "204969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• 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.