Provider Demographics
NPI:1962025437
Name:WOO, TIMOTHY YOUNGKYUN (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:YOUNGKYUN
Last Name:WOO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LAUREL ST STE D
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-5000
Mailing Address - Country:US
Mailing Address - Phone:650-226-8348
Mailing Address - Fax:650-666-6747
Practice Address - Street 1:1100 LAUREL ST STE D
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-5000
Practice Address - Country:US
Practice Address - Phone:650-226-8348
Practice Address - Fax:650-666-6747
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC34689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor