Provider Demographics
NPI:1538248323
Name:YOUNG, RICARDO B (MD)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:B
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12900 PARK PLAZA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:562-977-4674
Mailing Address - Fax:
Practice Address - Street 1:1801 H ST STE C-1
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-1221
Practice Address - Country:US
Practice Address - Phone:209-544-2554
Practice Address - Fax:209-544-2595
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2019-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA76149207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine