Provider Demographics
NPI:1679939557
Name:SIM, SOO YEUN
Entity Type:Individual
Prefix:
First Name:SOO YEUN
Middle Name:
Last Name:SIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TRUMPWORLD 3 CHA, HANGANG RO 3 GA, YONGSAN GU
Mailing Address - Street 2:101DONG 1002HO
Mailing Address - City:SEOUL
Mailing Address - State:KOREA
Mailing Address - Zip Code:140780
Mailing Address - Country:KR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TRUMPWORLD 3 CHA, HANGANG RO 3 GA, YONGSAN GU
Practice Address - Street 2:101DONG 1002HO
Practice Address - City:SEOUL
Practice Address - State:KOREA
Practice Address - Zip Code:140780
Practice Address - Country:KR
Practice Address - Phone:82103-242-9902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program