Active NPI
Eugene Y Young, D.O.
- Child & Adolescent Psychiatry Physician
- La Habra, CA
National Provider Identifier
1629111208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 20A6879
- Practice address
- 153 E Whittier Blvd Ste D
La Habra, CA 90631-3885 - Phone
- (626) 625-6646
- Fax
- (626) 202-1273
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A6879 | CA | Primary |
Addresses
Primary practice location
153 E Whittier Blvd Ste D
La Habra, CA 90631-3885
Mailing address
PO Box 5282
Hacienda Heights, CA 91745-0282
Phone (626) 625-6646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6879 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Y. Young, DO., Inc. | Child & Adolescent Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Child & Adolescent Psychiatry Physician
- La Habra, CA
- NPI 1881811750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1629111208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5282",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917450282",
"telephone_number": "626-625-6646",
"fax_number": "562-697-8027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 E WHITTIER BLVD STE D",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313885",
"telephone_number": "626-625-6646",
"fax_number": "626-202-1273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "EUGENE",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "20A6879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.