| Joon Suh Do Inc | |
|
23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 | |
| (949) 215-5055 | |
| Not Available |
| Full Name | Joon Suh Do Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23141 Verdugo Dr Ste 201, Laguna Hills, California |
| Authorized Official Name and Position | Joon Suh (OWNER CEO) |
| Authorized Official Contact | 9492155055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joon Suh Do Inc 23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 Ph: (949) 215-5055 | Joon Suh Do Inc 23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 Ph: (949) 215-5055 |
| NPI Number | 1033975891 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 3476999145 |
|---|---|
| Medicare Enrollment ID | O20240315003560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033975891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joon Suh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518498674 PECOS PAC ID: 6901176205 Enrollment ID: I20200716004204 |
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