Provider Demographics
NPI:1477602308
Name:YOON, GERALD HEEKO (MD)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:HEEKO
Last Name:YOON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14350 WHITTIER BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-2138
Mailing Address - Country:US
Mailing Address - Phone:562-907-7600
Mailing Address - Fax:562-907-7602
Practice Address - Street 1:14350 WHITTIER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-2138
Practice Address - Country:US
Practice Address - Phone:562-907-7600
Practice Address - Fax:562-907-7602
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2020-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA80300208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA080300OtherLICENSE