JOO FAMILY CLINIC LLC NPI 1336491570

NPI Information

NPI: 1336491570
Provider Name: JOO FAMILY CLINIC LLC

Doing Business As: JOO FAMILY CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
22618 HIGHWAY 99 STE 106
EDMONDS, WA
ZIP 98026
Phone: (425) 409-9247
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JOO FAMILY CLINIC LLC is a primary care clinic center in Edmonds, WA. JOO FAMILY CLINIC LLC NPI is 1336491570. The provider is registered as an organization entity type.
The provider Is Doing Business As Joo Family Clinic.

The provider's business location address is:

22618 HIGHWAY 99 STE 106
EDMONDS, WA
ZIP 98026-395
Phone: (425) 409-9247

The provider's authorized official is Misook Joo .
The authorized official title is Dnp and has the following contact phone number (425) 409-9247.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 8/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1336491570	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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