| Hee Yong Oh Md Inc | |
|
1433 W Merced Ave Ste 207 West Covina CA 91790-3402 | |
| (626) 962-2421 | |
| Not Available |
| Full Name | Hee Yong Oh Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1433 W Merced Ave Ste 207, West Covina, California |
| Authorized Official Name and Position | Hee Yong Oh (OWNER) |
| Authorized Official Contact | 6269622421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hee Yong Oh Md Inc 1433 W Merced Ave Ste 207 West Covina CA 91790-3402 Ph: () - | Hee Yong Oh Md Inc 1433 W Merced Ave Ste 207 West Covina CA 91790-3402 Ph: (626) 962-2421 |
| NPI Number | 1457636094 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 12/16/2011 |
| Medicare PECOS PAC ID | 1456524784 |
|---|---|
| Medicare Enrollment ID | O20111102000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457636094 | NPI | - | NPPES |
| 00A343520 | Medicaid | CA | |
| 00FN230A0 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | FN230A (California) | Primary |
| Provider Name | Hee Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225106693 PECOS PAC ID: 9436295342 Enrollment ID: I20091007000343 |
| Provider Name | Jiman Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093082885 PECOS PAC ID: 9234398058 Enrollment ID: I20150924002954 |
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