Provider Demographics
NPI:1275623340
Name:YOO, JAY HOON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:HOON
Last Name:YOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:408 S. BEACH BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1889
Mailing Address - Country:US
Mailing Address - Phone:714-821-8479
Mailing Address - Fax:714-821-8905
Practice Address - Street 1:408 S. BEACH BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1889
Practice Address - Country:US
Practice Address - Phone:714-821-8479
Practice Address - Fax:714-821-8905
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71785207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology