Doctor Name: | SOOJIN YU |
NPI Number: | 1003277260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | NP95003819 |
Business Practice Address: | 11832 Rosecrans Ave #127 Norwalk, CA - 906504107 |
Business Phone Number: | 5628686256 |
Business Fax Number: | |
Mailing Address: | 996 Evening Canyon Rd, BREA |
State: | CA |
Postal Code: | 928212612 |
Phone Number: | 7148337556 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2016 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP95003819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |