Provider Demographics
NPI:1659678613
Name:DR. YOO'S FOR YOU CLINIC
Entity Type:Organization
Organization Name:DR. YOO'S FOR YOU CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YEON HEE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-757-3690
Mailing Address - Street 1:17305 VON KARMAN AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-0963
Mailing Address - Country:US
Mailing Address - Phone:949-757-3690
Mailing Address - Fax:949-596-9146
Practice Address - Street 1:17305 VON KARMAN AVE STE 111
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-0963
Practice Address - Country:US
Practice Address - Phone:949-757-3690
Practice Address - Fax:949-596-9146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-26
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care