Phillip B. Yoo, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC-31461 Issued in CA

Practice address

12665 Garden Grove Blvd Ste 609
Garden Grove, CA 92843-1920

Phone

(714) 636-2741

Fax

(714) 636-2481

NPI assigned

Aug 18, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1154636876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 609",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920",
            "telephone_number": "714-636-2741",
            "fax_number": "714-636-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 609",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920",
            "telephone_number": "714-636-2741",
            "fax_number": "714-636-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "PHILLIP",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC-31461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung Eun Yim, N.P
• So Mi Yim
• Yj Hong DDS, Inc.
• Drake Norman Yomogida
• Dong J. Yoo, DDS
• Steven S Yoo, O.D.
• Yoon Chiropractic., Inc.
• Dong Joon Yoon, D.C.
• Mok Koo Yoon, L.AC
• Stephen Yoon

• Sports Physician Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.