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Timothy Yoo

Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).

NPI number1669908034
StatusActive
Last updated in NPPESNov 22, 2021

Details

NPI
1669908034
Entity type
Individual (NPI-1)
Name
Timothy Yoo
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2017
Certification date
Jul 6, 2021
Last updated
Nov 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

4733 W Sunset Blvd Fl 3
Los Angeles, CA 90027-6021

Phone 323-783-0141

Mailing address

4733 W Sunset Blvd Fl 3
Los Angeles, CA 90027-6021

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