Organization Active NPI

Young T Won MD Inc

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1366472078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66733 Issued in CA
Legal business name
YOUNG T WON MD INC
Practice address
9042 Garden Grove Blvd
# 200
Garden Grove, CA 92844-1370
Phone
(714) 523-7575
Fax
(714) 590-0007
NPI assigned
Jul 5, 2006
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. Young T Won, M.D.NPI 1184659047
Title
President
Phone
(714) 523-7575

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 A66733 CA Primary

Addresses

Primary practice location

9042 Garden Grove Blvd
# 200
Garden Grove, CA 92844-1370

Mailing address

9042 Garden Grove Blvd
# 200
Garden Grove, CA 92844-1370
Phone (714) 523-7575

National Provider Directory

National Provider Directory

Locations

9042 Garden Grove Blvd
Ste 200
Garden Grove, CA 92844
Phone (714) 523-7575

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366472078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9042 GARDEN GROVE BLVD",
            "address_2": "# 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441370",
            "telephone_number": "714-523-7575",
            "fax_number": "714-590-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9042 GARDEN GROVE BLVD",
            "address_2": "# 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441370",
            "telephone_number": "714-523-7575",
            "fax_number": "714-590-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG T WON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-523-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, 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.