| Paul & Elizabeth Yoo, A Medical Corporation | |
|
1300 N Vermont Ave Suite 309 Los Angeles CA 90027-6005 | |
| (323) 655-9550 | |
| (323) 665-1075 |
| Full Name | Paul & Elizabeth Yoo, A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1300 N Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Elizabeth Yoo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3236659550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul & Elizabeth Yoo, A Medical Corporation 1300 N Vermont Ave Suite 309 Los Angeles CA 90027-6005 Ph: (323) 655-9550 | Paul & Elizabeth Yoo, A Medical Corporation 1300 N Vermont Ave Suite 309 Los Angeles CA 90027-6005 Ph: (323) 655-9550 |
| NPI Number | 1437255817 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971796954 |
|---|---|
| Medicare Enrollment ID | O20101022000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437255817 | NPI | - | NPPES |
| 00A401920 | Medicaid | CA | |
| A40192 | Other | CA | CALIF. MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A40192 (California) | Primary |
| Provider Name | Elizabeth Z Yoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558467944 PECOS PAC ID: 4880887868 Enrollment ID: I20101025000356 |
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