Individual
DR. JEAN YOO-BOURGOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1835 NEWPORT BLVD, STE E270, COSTA MESA, CA 92627-5014
(949) 646-4949
(949) 646-2533
Mailing address
1835 NEWPORT BLVD, STE E270, COSTA MESA, CA 92627
(949) 646-4949
(949) 646-2533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10185T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548472921
GROUP NPI (TYPE 2)
CA
Enumeration date
02/17/2007
Last updated
09/19/2017
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