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NPI Code Detail

MEDICARE: DR. JUN SANG YOO PH.D.

MEDICARE:  DR. JUN SANG YOO  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC19963CA

General Provider Information

NPI Number : 1104694454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUN SANG YOO PH.D.
Provider Business Mailing Address
First Line : 1600 DOVE ST STE 305
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-1447
Country : US
Telephone Number : 949-282-8991
Fax Number : 949-209-3284
Provider Business Practice Location Address
First Line : 1600 DOVE ST STE 305
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-1447
Country : US
Telephone Number : 949-282-8991
Fax Number : 949-209-3284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2023
Last Update Date : 12/16/2023

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Directions to “ DR. JUN SANG YOO PH.D.” Practice Location

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