Young Kee Markham, NP
Individual provider Active NPI Nurse Practitioner · L.a., CA
NPI 1851767362 · NPPES record last updated Aug 19, 2015
Key facts
- NPI
- 1851767362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5268 (CA)
- Practice address
- 700 Tiverton Avenue
L.a., CA 90095-8919 - Phone
- (310) 825-2220
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5268 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5268 | CA | Yes |
Addresses
Primary practice location
700 Tiverton Avenue
L.a., CA 90095-8919
Mailing address
700 Tiverton Ave
Los Angeles, CA 90095-8919
Phone (310) 825-2220
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All providers in L.a., CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.