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NPI Code Detail

MEDICARE: HAE-JUN YOO

MEDICARE: HAE-JUN 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
1183500000XPharmacist87369CA

General Provider Information

NPI Number : 1861102154
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAE-JUN YOO
Provider Business Mailing Address
First Line : 2400 N SEPULVEDA BLVD
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 N SEPULVEDA BLVD
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2914
Country : US
Telephone Number : 424-241-1950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 12/20/2022

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Directions to “ HAE-JUN YOO ” Practice Location

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