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NPI Code Detail

MEDICARE: STEVE JIWEON YOO DO

MEDICARE: STEVE JIWEON YOO DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician20A17308CA

General Provider Information

NPI Number : 1821473190
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE JIWEON YOO DO
Provider Business Mailing Address
First Line : 2410 FIRE MESA ST STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6261 STANTON AVE
Second Line :
City : BUENA PARK
State : CA
Zip : 90621-2436
Country : US
Telephone Number : 714-739-4325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2015
Last Update Date : 02/18/2022

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Directions to “ STEVE JIWEON YOO DO” Practice Location

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