Organization Name: | SUNG J. YOO, M.D., INC. |
NPI Number: | 1275522849 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNG JUN YOO (MEDICAL DIRECTOR) |
Mailing Address: | 18897 Colima Rd A Rowland Heights |
State: | CA US |
Postal Code: | 917482977 |
Phone Number: | 6269131116 |
Fax Number: | 6269131261 |
NPI Enumeration Date: | 10/17/2005 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | G78232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |