Provider Demographics
NPI:1932393170
Name:YOO, JANIE HEA-RYUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:HEA-RYUNG
Last Name:YOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANIE
Other - Middle Name:HEA-RYUNG
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4368 KUKUI GROVE ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1674
Mailing Address - Country:US
Mailing Address - Phone:808-378-9927
Mailing Address - Fax:808-515-5061
Practice Address - Street 1:3170 JERVES ST STE B
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-3113
Practice Address - Country:US
Practice Address - Phone:808-378-9927
Practice Address - Fax:808-515-5061
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI18657207W00000X
MA243630207W00000X
CAA103121207W00000X
GUM-2309207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology