Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC16956 | CA |
NPI | 1255410866 |
---|---|
Provider Name | Dr. Anthony D Young |
First Address | Temecula, CA 92591-6031 |
Second Address | Temecula, CA 92591-6031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |