Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036118650 | IL |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | A116783 | CA |
NPI | 1336305275 |
---|---|
Provider Name | Dr. Jeffrey Lee Young |
First Address | Stanford, CA 94305-2200 |
Second Address | Palo Alto, CA 94304-1503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 26/10/2016 |