Provider Demographics
NPI:1679525992
Name:YOUNG, ALEXANDER STEHLE (MD, MSHS)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:STEHLE
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD, MSHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 UCLA MEDICAL PLZ STE 1326
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-6502
Mailing Address - Country:US
Mailing Address - Phone:310-794-7219
Mailing Address - Fax:
Practice Address - Street 1:300 UCLA MEDICAL PLZ
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6502
Practice Address - Country:US
Practice Address - Phone:310-794-7219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG700112084P0800X
CAG000700112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F26914Medicare UPIN
WG70011CMedicare ID - Type Unspecified