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Individual
JINSOO ANDREW KEYOUNG
Active
Individual
JINSOO ANDREW KEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A84087
CA
2085R0202X
Diagnostic Radiology Physician
A84087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A840870
BS
CA
05
—
00A840870
—
CA
Enumeration date
09/21/2006
Last updated
04/09/2024
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