Dr. Justin Coleman Young
General Practice Physician
3019 Washington Blvd
Marina del Rey
, California 90292-5548
Dr. Justin Coleman Young
General Practice Physician
3019 Washington Blvd
Marina del Rey
, California 90292-5548
(310) 305-1801
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Justin Coleman Young
- 3019 Washington Blvd
- Marina Del Rey, CA
- Zip : 90292-5548
- Phone : (310) 305-1801
Second Address
- Dr. Justin Coleman Young
- 3019 Washington Blvd
- Marina Del Rey, CA
- Zip : 90292-5548
- Phone : (310) 305-1801
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | A127398 | CA |
National Provider Identifier
| NPI | 1033370945 |
|---|---|
| Provider Name | Dr. Justin Coleman Young |
| First Address | Marina Del Rey, CA 90292-5548 |
| Second Address | Marina Del Rey, CA 90292-5548 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2008 |
| Last Update Date | 09/12/2015 |
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.