Provider Demographics
NPI:1679695340
Name:YOO, STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:YOO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9400 BRIGHTON WAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4714
Mailing Address - Country:US
Mailing Address - Phone:310-273-2310
Mailing Address - Fax:310-273-0314
Practice Address - Street 1:9400 BRIGHTON WAY
Practice Address - Street 2:SUITE 307
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4714
Practice Address - Country:US
Practice Address - Phone:310-273-2310
Practice Address - Fax:310-273-0314
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2021-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301082190208600000X
CAA107821208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery