Active NPI
Si-Eup Yoo, MD
- Internal Medicine Physician
- Mission Hills, CA
National Provider Identifier
1205855673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A39782
- Practice address
- 11165 Sepulveda Blvd
Mission Hills, CA 91345-1113 - Phone
- (818) 837-2753
- Fax
- (818) 898-9282
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A39782 | CA | Primary |
Addresses
Primary practice location
11165 Sepulveda Blvd
Mission Hills, CA 91345-1113
Mailing address
11165 Sepulveda Blvd
Mission Hills, CA 91345-1113
Phone (818) 837-2753
Other names 1
- Paul Yoo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39782 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Mission Hills, CA
- NPI 1194083824
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205855673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11165 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451113",
"telephone_number": "818-837-2753",
"fax_number": "818-898-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11165 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451113",
"telephone_number": "818-837-2753",
"fax_number": "818-898-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "SI-EUP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A39782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "YOO",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.