| Kyung Soo Yoo Md Inc | |
|
15446 Parthenia St North Hills CA 91343-5108 | |
| (818) 891-1616 | |
| (818) 895-2706 |
| Full Name | Kyung Soo Yoo Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15446 Parthenia St, North Hills, California |
| Authorized Official Name and Position | Kyung Soo Yoo (PHYSICIAN) |
| Authorized Official Contact | 8188911616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyung Soo Yoo Md Inc 15446 Parthenia St North Hills CA 91343-5108 Ph: (818) 891-1616 | Kyung Soo Yoo Md Inc 15446 Parthenia St North Hills CA 91343-5108 Ph: (818) 891-1616 |
| NPI Number | 1346467461 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 11/09/2011 |
| Medicare PECOS PAC ID | 9638295009 |
|---|---|
| Medicare Enrollment ID | O20100923000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346467461 | NPI | - | NPPES |
| 00A444720 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A444720 (California) | Primary |
| Provider Name | Kyung S Yoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588754675 PECOS PAC ID: 4284750290 Enrollment ID: I20101005000463 |
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