MEDICARE: DONGYUAL YOO

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
1	111N00000X	Chiropractor	DC37552	CA

General Provider Information

NPI Number	:	1053262048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONGYUAL YOO

Provider Business Mailing Address
First Line	:	500 S VIRGIL AVE STE 302
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1449
Country	:	US
Telephone Number	:	213-385-5356
Fax Number	:	213-385-5318

Provider Business Practice Location Address
First Line	:	500 S VIRGIL AVE STE 302
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1449
Country	:	US
Telephone Number	:	213-385-5356
Fax Number	:	213-385-5318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/10/2026

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Directions to “ DONGYUAL YOO ” Practice Location

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