Individual
RYAN HYUN WOOK JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 E GREEN ST STE 105, PASADENA, CA 91106-2443
(626) 304-0782
(626) 658-2848
Mailing address
PO BOX 1449, BREA, CA 92822-1449
(714) 996-1633
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A114398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA121320
MEDICARE / PTAN
CA
Enumeration date
08/20/2009
Last updated
11/01/2023
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