05D0705914 CLIA NUMBER - JOHN K YOUNG DO INC

Laboratory Demographics

CLIA Number: 05D0705914

Facility Name: JOHN K YOUNG DO INC

Facility Address:
1230 E CARSON ST
LONG BEACH, CA
ZIP 90807
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Facility Phone Number: 562 424-7723

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477638898

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0705914
LAB Type	Physician Office
Facility Name	JOHN K YOUNG DO INC
Street	1230 E CARSON ST
City	LONG BEACH
State	CA
ZIP	90807
Phone	562 424-7723
CertificateType	4
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024