| Ryan H Joo, M.d. Inc. | |
|
960 E Green St Ste 105 Pasadena CA 91106-2443 | |
| (626) 304-0782 | |
| (626) 310-0552 |
| Full Name | Ryan H Joo, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 960 E Green St Ste 105, Pasadena, California |
| Authorized Official Name and Position | Ryan H Joo (CEO) |
| Authorized Official Contact | 3238212796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan H Joo, M.d. Inc. Po Box 1449 Brea CA 92822-1449 Ph: (714) 996-1633 | Ryan H Joo, M.d. Inc. 960 E Green St Ste 105 Pasadena CA 91106-2443 Ph: (626) 304-0782 |
| NPI Number | 1801248067 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 10/27/2023 |
| Medicare PECOS PAC ID | 3971882762 |
|---|---|
| Medicare Enrollment ID | O20161118001125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801248067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A114398 (California) | Primary |
| Provider Name | Ryan H Joo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639301922 PECOS PAC ID: 6709000359 Enrollment ID: I20140621000035 |
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