Young, Clarence Dale

Young, Clarence Dale is an individual health care provider with primary practice located at 170 Alameda De Las Pulgas , Redwood City CA 94062-2751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Young, Clarence Dale can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
170 Alameda De Las Pulgas Redwood City CA 94062-2751
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A68208 California

Profile Details

NPI number 1649261371
LBN Legal business name Young, Clarence Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 14th, 2008 - about 18 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 1649261371 NPPES
California Other 00A682080 BLUE SHIELD
California MEDICAID 00A682080 BLUE SHIELD

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