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Physician Compare National (NPI:1821476714)

HEALTHCARE PROVIDER: JESSICA YOUK M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1821476714
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8921335670
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190805000202
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name YOUK
Individual professional last name
Provider First Name JESSICA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2015
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name PERMANENTE MEDICAL GROUP INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8921910225
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 5849
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3285 CLAREMONT WAY
Group Practice or individual's line 1 address
City NAPA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 945583313
Group Practice or individual's zip code (9 digits when available)
Phone Number 7072582500
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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