Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A99844 | CA |
NPI | 1033327127 |
---|---|
Provider Name | Dr. Kiyoung Yoo |
First Address | Santa Monica, CA 90404-2023 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2007 |
Last Update Date | 01/11/2021 |