Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | A95823 | CA |
Y | 208200000X | Surgeon | 35095067 | OH |
Y | 208600000X | Surgeon | 35095067 | OH |
NPI | 1194915868 |
---|---|
Provider Name | Dr. Michael J Yoo |
First Address | Irvine, CA 92618-3186 |
Second Address | Irvine, CA 92618-3186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 27/05/2015 |