Jessica Yoon Md Inc | |
2355 Westwood Blvd Ste 289 Los Angeles CA 90064-2109 | |
(310) 786-7204 | |
(844) 337-3259 |
Full Name | Jessica Yoon Md Inc |
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Speciality | Internal Medicine |
Location | 2355 Westwood Blvd, Los Angeles, California |
Authorized Official Name and Position | Jessica L Yoon (OWNER) |
Authorized Official Contact | 3107867204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jessica Yoon Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (310) 786-7204 | Jessica Yoon Md Inc 2355 Westwood Blvd Ste 289 Los Angeles CA 90064-2109 Ph: (310) 786-7204 |
NPI Number | 1619363132 |
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Provider Enumeration Date | 04/10/2015 |
Last Update Date | 04/10/2015 |
Medicare PECOS PAC ID | 2062724792 |
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Medicare Enrollment ID | O20150708002407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619363132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A123567 (California) | Primary |
Provider Name | Jessica L Yoon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659650836 PECOS PAC ID: 7315164282 Enrollment ID: I20140818000239 |
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