Healthcare Provider Details

I. General information

NPI: 1023512217
Provider Name (Legal Business Name): ARAN YOO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7025 N SCOTTSDALE RD STE 302
SCOTTSDALE AZ
85253-3694
US

IV. Provider business mailing address

1542 TULANE AVENUE ROOM 748A
NEW ORLEANS LA
70112
US

V. Phone/Fax

Practice location:
  • Phone: 480-657-7006
  • Fax: 480-657-7020
Mailing address:
  • Phone: 504-568-3310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number71515
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: