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KYUNG SOO YOO MD INC NPI 1346467461


NPI Information

NPI: 1346467461
Provider Name: KYUNG SOO YOO MD INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0558632

Address:
15446 PARTHENIA ST
NORTH HILLS, CA
ZIP 91343
Phone: (818) 891-1616
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KYUNG SOO YOO MD INC is a family medicine in North Hills, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KYUNG SOO YOO MD INC NPI is 1346467461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15446 PARTHENIA ST
NORTH HILLS, CA
ZIP 91343-108
Phone: (818) 891-1616
Fax: (818) 895-2706

The provider's authorized official is Kyung Soo Yoo .
The authorized official title is Physician and has the following contact phone number (818) 891-1616.

The CLIA number assigned to this NPI record is 05D0558632 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/19/2007 and was last updated on 11/9/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA444720CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A444720MEDICAIDCALIFORNIA
2F18425MEDICARE UPINCALIFORNIA

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: 4/28/2024

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