Provider Demographics
NPI:1730386863
Name:YUNG, DORIS (MD)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:
Last Name:YUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 EARLHAM ST
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-1589
Mailing Address - Country:US
Mailing Address - Phone:760-789-1223
Mailing Address - Fax:760-789-3152
Practice Address - Street 1:217 EARLHAM ST
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-1589
Practice Address - Country:US
Practice Address - Phone:760-789-1223
Practice Address - Fax:760-789-3152
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89893207R00000X
CAA89893208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics