Benita Kho Young
Adolescent Medicine
1505 Shepard Dr Ste 103
Santa Maria
, California 93454-7020
Benita Kho Young
Adolescent Medicine
1505 Shepard Dr Ste 103
Santa Maria
, California 93454-7020
(805) 922-8219
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Benita Kho Young
- 1505 S Shepard Dr Ste 103
- Santa Maria, CA
- Zip : 93454
- Fax : (805) 922-8219
- Phone : (805) 922-0439
Second Address
- Benita Kho Young
- 1505 Shepard Dr Ste 103
- Santa Maria, CA
- Zip : 93454-7020
- Fax : (805) 922-8219
- Phone : (805) 922-0439
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | A35719 | CA |
National Provider Identifier
| NPI | 1013006949 |
|---|---|
| Provider Name | Benita Kho Young |
| First Address | Santa Maria, CA 93454 |
| Second Address | Santa Maria, CA 93454-7020 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.