Young, Gary W.O.

Young, Gary W.O. is an individual health care provider with primary practice located at 4341 Golden Center Dr Suite B, Placerville CA 95667-6260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Young, Gary W.O. can be contacted via phone (530) 621-3600.

Contact Information

Primary practice address
4341 Golden Center Dr Suite B Placerville CA 95667-6260
Phone: (530) 621-3600
Fax: (530) 626-7617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G678890 California

Profile Details

NPI number 1689601155
LBN Legal business name Young, Gary W.O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 18th, 2013 - about 13 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 1689601155 NPPES
California MEDICAID GR0070790

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