# JOO-HYUNG YI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174810618
- **Gender:** Man
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 20916 | CA | Yes |
| 363LF0000X | Family Nurse Practitioner | NP 20916 | CA | — |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 03/03/2021
