Organization
KYOO S, RO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYOO S RO M.D. (PRESIDENT)
(818) 240-5241
Entity
Organization
Contact information
Practice address
435 ARDEN AVE, #380, GLENDALE, CA 91203-1130
(818) 240-5241
(818) 240-8264
Mailing address
435 ARDEN AVE, SUITE 380, GLENDALE, CA 91203-1130
(818) 240-5241
(818) 240-8264
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A26079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A26079
—
CA
Enumeration date
10/24/2006
Last updated
11/16/2011
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