Young, Charlie

Young, Charlie is an individual health care provider with primary practice located at 710 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Young, Charlie can be contacted via phone (408) 851-3748.

Contact Information

Primary practice address
710 Lawrence Expy Santa Clara CA 95051-5173
Phone: (408) 851-3748
Fax: (408) 851-3862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X G51084 California

Profile Details

NPI number 1780760637
LBN Legal business name Young, Charlie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Nov 30th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780760637 NPPES
California MEDICAID 00G510840

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