| Jae Yong Yoo, M.d., Inc | |
|
966 S Western Ave Suite 208 Los Angeles CA 90006-1013 | |
| (323) 731-2001 | |
| (323) 731-1482 |
| Full Name | Jae Yong Yoo, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 966 S Western Ave, Los Angeles, California |
| Authorized Official Name and Position | Sunee Yoo (OFFICE MANAGER) |
| Authorized Official Contact | 2135908370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Yong Yoo, M.d., Inc 966 S Western Ave Suite 208 Los Angeles CA 90006-1013 Ph: (323) 731-2001 | Jae Yong Yoo, M.d., Inc 966 S Western Ave Suite 208 Los Angeles CA 90006-1013 Ph: (323) 731-2001 |
| NPI Number | 1639451800 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 5991976706 |
|---|---|
| Medicare Enrollment ID | O20110927000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639451800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jae Y Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295811966 PECOS PAC ID: 7911002779 Enrollment ID: I20100224000356 |
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