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NPI Code Detail

MEDICARE: YOONMEE JOO NP

MEDICARE: YOONMEE JOO NP
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
1363LA2200XAdult Health Nurse PractitionerNP 17735CA

General Provider Information

NPI Number : 1083898217
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOONMEE JOO NP
Provider Business Mailing Address
First Line : 505 PARNASSUS AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94143-2204
Country : US
Telephone Number : 510-433-1160
Fax Number :
Provider Business Practice Location Address
First Line : 510 17TH ST
Second Line : #400
City : OAKLAND
State : CA
Zip : 94612-1553
Country : US
Telephone Number : 510-433-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2007
Last Update Date : 02/04/2021

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