Provider Demographics
NPI:1285616680
Name:YOUNG, JOSEPH NILAS JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NILAS
Last Name:YOUNG
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2221 STOCKTON BOULEVARD
Mailing Address - Street 2:CYPRESS BUILDING, SUITE 2112
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-734-7255
Mailing Address - Fax:916-734-3066
Practice Address - Street 1:2315 STOCKTON BOULEVARD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-7255
Practice Address - Fax:916-734-3066
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2018-04-17
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Provider Licenses
StateLicense IDTaxonomies
CAC33793208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA35382Medicare UPIN