Provider Demographics
NPI:1902091242
Name:MCFARLAND, SOYOUNG IM (MD)
Entity Type:Individual
Prefix:DR
First Name:SOYOUNG
Middle Name:IM
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4077 FIFTH AVE
Mailing Address - Street 2:MER 35
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2105
Mailing Address - Country:US
Mailing Address - Phone:619-260-7220
Mailing Address - Fax:619-260-7305
Practice Address - Street 1:4077 FIFTH AVE
Practice Address - Street 2:MER 35
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2105
Practice Address - Country:US
Practice Address - Phone:619-260-7220
Practice Address - Fax:619-260-7305
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97578207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A975780Medicaid
CA00A975780Medicaid