Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A96349 | CA |
Y | 111NI0900X | Internist | A96349 | CA |
NPI | 1003091539 |
---|---|
Provider Name | Kiho Woo |
First Address | Fullerton, CA 92835-3809 |
Second Address | Fullerton, CA 92835-3809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2008 |
Last Update Date | 02/12/2019 |