Provider Demographics
NPI:1851509350
Name:YOO, DO YEOL (LAC,OMD PHD)
Entity Type:Individual
Prefix:DR
First Name:DO
Middle Name:YEOL
Last Name:YOO
Suffix:
Gender:M
Credentials:LAC,OMD PHD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:DO YEOL
Other - Last Name:YOO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC, OMD PHD
Mailing Address - Street 1:828 E. PALMDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550
Mailing Address - Country:US
Mailing Address - Phone:661-974-7795
Mailing Address - Fax:
Practice Address - Street 1:828 E. PALMDALE BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4710
Practice Address - Country:US
Practice Address - Phone:661-974-7795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5086171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist