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General NPI Number Information
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NPI Number | 1881785624
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Entity Type | Organization
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Legal Business Name | KEVIN YOO, M.D. APC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 4150 REGENTS PARK ROW STE 325
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City | LA JOLLA
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State | CA
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Zip | 92037-9102
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Country | US
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Telephone | 858-909-9033
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Fax | 858-429-4009
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Provider Business Mailing Address
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Address Line | 9921 CARMEL MOUNTAIN RD #190
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City | SAN DIEGO
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State | CA
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Zip | 92129-2813
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Country | US
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Telephone | 858-909-9033
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Fax | 858-429-4009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK KEVIN YOO
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Credential | MD
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Telephone | 858-909-9033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G86513
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License Number State | CA
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