Organization Active NPI

Corona Pediatrics

  • Pediatrics Physician
  • Corona, CA
National Provider Identifier
1245520493
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G78754 Issued in CA
Legal business name
CORONA PEDIATRICS
Practice address
2815 S Main St
Suite 200
Corona, CA 92882-2531
Phone
(951) 736-5437
Fax
(951) 736-5429
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Mihwa Yoo, MDNPI 1467438002
Title
Owner
Phone
(951) 255-1796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G78754 CA Primary

Addresses

Primary practice location

2815 S Main St
Suite 200
Corona, CA 92882-2531

Mailing address

2815 S Main St
Suite 200
Corona, CA 92882-2531
Phone (951) 736-5437

National Provider Directory

National Provider Directory

Locations

2815 S Main St
Corona, CA 92882
Phone (951) 475-1307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1245520493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822531",
            "telephone_number": "951-736-5437",
            "fax_number": "951-736-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822531",
            "telephone_number": "951-736-5437",
            "fax_number": "951-736-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "MIHWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-255-1796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G78754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.