Provider Demographics
NPI:1629125067
Name:RYOO, CHRISTY JIHEE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:JIHEE
Last Name:RYOO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 S KING RD STE 60
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-4408
Mailing Address - Country:US
Mailing Address - Phone:408-223-2008
Mailing Address - Fax:408-532-8880
Practice Address - Street 1:2435 S KING RD STE 60
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-4408
Practice Address - Country:US
Practice Address - Phone:408-223-2008
Practice Address - Fax:408-532-8880
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor