Provider Demographics
NPI:1902000854
Name:JOO, ALLEN ILHWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ILHWAN
Last Name:JOO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14445 OLIVE VIEW DR
Mailing Address - Street 2:DEPT. OF MEDICINE SUITE 2B-182
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1437
Mailing Address - Country:US
Mailing Address - Phone:818-364-3205
Mailing Address - Fax:818-364-4573
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:DEPT. OF MEDICINE SUITE 2B-182
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1437
Practice Address - Country:US
Practice Address - Phone:818-364-3205
Practice Address - Fax:818-364-4573
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2021-11-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program