Kyung Soo Yoo MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A444720 Issued in CA

Legal business name

KYUNG SOO YOO MD INC

Practice address

15446 Parthenia St
North Hills, CA 91343-5108

Phone

(818) 891-1616

Fax

(818) 895-2706

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Kyung Soo Yoo, M.D.NPI 1588754675

Title

Physician

Phone

(818) 891-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Kyung Soo Yoo, MD

  • Adolescent Medicine (Family Medicine) Physician
  • North Hills, CA
  • NPI 1588754675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1346467461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 PARTHENIA ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435108",
            "telephone_number": "818-891-1616",
            "fax_number": "818-895-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 PARTHENIA ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435108",
            "telephone_number": "818-891-1616",
            "fax_number": "818-895-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYUNG SOO YOO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-891-1616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A444720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A444720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jitendra Kuckreja
• Jaime Alexis Kuhle, MFT
• Pam Kunisawa
• Linda Fay Kutzbach, FNP
• Jane Kwon, DDS
• Jennifer Lam, RDH
• Dunia Geraldine Lara
• Janet Lazar, M.A.
• Johanna Lazaro
• Hung Huy Le, D.C.

• Family Medicine Physician in North Hills, CA
• Providers in North Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.