Provider Demographics
NPI:1295774545
Name:YOO, FRANK KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:KEVIN
Last Name:YOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:YOO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9921 CARMEL MOUNTAIN RD # 190
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2813
Mailing Address - Country:US
Mailing Address - Phone:858-909-9033
Mailing Address - Fax:858-429-4009
Practice Address - Street 1:4150 REGENTS PARK ROW STE 325
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-9102
Practice Address - Country:US
Practice Address - Phone:858-909-9033
Practice Address - Fax:858-429-4009
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86513207T00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery