| Thomas W. Yoo, M.d., Inc., A Medical Corp | |
|
555 E Hardy St Inglewood CA 90301-4011 | |
| (626) 344-7797 | |
| (626) 737-0464 |
| Full Name | Thomas W. Yoo, M.d., Inc., A Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 555 E Hardy St, Inglewood, California |
| Authorized Official Name and Position | Thomas Wonsuk Yoo (PRESIDENT / DIRECTOR) |
| Authorized Official Contact | 6263447797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W. Yoo, M.d., Inc., A Medical Corp 1107 Fair Oaks Ave # 854 South Pasadena CA 91030-3311 Ph: (626) 344-7797 | Thomas W. Yoo, M.d., Inc., A Medical Corp 555 E Hardy St Inglewood CA 90301-4011 Ph: (626) 344-7797 |
| NPI Number | 1134165012 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 1850309915 |
|---|---|
| Medicare Enrollment ID | O20060330000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134165012 | NPI | - | NPPES |
| 00A735590 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A73559 (California) | Primary |
| Provider Name | Thomas W Yoo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407886260 PECOS PAC ID: 0547235491 Enrollment ID: I20040901001516 |
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