JEFFREY WON LONG YOUNG

SAN JOSE, CA
NPI1730472036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA21552)
Enumeration Date2011-05-18
Last Update Date2022-02-11
Business Address
-- JEFFREY WON LONG YOUNG PAC
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-5111
Mailing Address
-- JEFFREY WON LONG YOUNG PAC
205 ALVARADO ST
BRISBANE, CA 94005-1508
Phone number: 949-923-1252