Dr. Edward M Young JR.
Dermatopathologist
5204 Melvin Avenue
Tarzana
, California 91356-3805
Dr. Edward M Young JR.
Dermatopathologist
5204 Melvin Avenue
Tarzana
, California 91356-3805
(310) 202-0831
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Edward M Young JR.
- 3710 So Robertson Blvd Suite 201
- Culver City, CA
- Zip : 90232-2347
- Fax : (310) 202-0831
- Phone : (310) 202-6204
Second Address
- Dr. Edward M Young JR.
- 5204 Melvin Avenue
- Tarzana, CA
- Zip : 91356-3805
- Fax : (818) 343-6683
- Phone : (818) 343-6653
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0900X | Dermatopathologist | G045532 | CA |
National Provider Identifier
| NPI | 1447324850 |
|---|---|
| Provider Name | Dr. Edward M Young JR. |
| First Address | Culver City, CA 90232-2347 |
| Second Address | Tarzana, CA 91356-3805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2006 |
| Last Update Date | 19/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E17044 | (02) | CA |
| E87044 | (02) | CA |
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.