STEPHEN GRANVILLE YOUNG MD NPI 1588684765

NPI Information

NPI: 1588684765
Provider Name: STEPHEN GRANVILLE YOUNG, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
200 MEDICAL PLAZA
#365,530,420,120
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-4997
Get Directions

Stephen Granville Young, MD is a cardiovascular disease internal medicine in Los Angeles, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Stephen Granville Young, MD NPI is 1588684765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 MEDICAL PLAZA
#365,530,420,120
LOS ANGELES, CA
ZIP 90095-075
Phone: (310) 825-4997
Fax: (310) 206-0865

The enumeration date for this NPI number is 7/20/2006 and was last updated on 6/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	G41166	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A48479	MEDICARE UPIN	CALIFORNIA
2	00G411660	MEDICAID	CALIFORNIA
3	WG41166A	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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