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Contact Information

AMY D YOUNG SNODGRASS, MD
11370 ANDERSON ST
STE B-100
LOMA LINDA, CA92354-3450
 Phone: 909-558-2848
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMY D YOUNG SNODGRASS · (Female)

NPI # 1720001217
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 09/26/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A84073
  • CA Medicaid 00A840730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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