Organization
KEVIN YOO, M.D. APC
Active
Other names
Palomar Neurosurgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK KEVIN YOO MD (PRESIDENT)
(858) 909-9033
Entity
Organization
Contact information
Practice address
4150 REGENTS PARK ROW STE 325, LA JOLLA, CA 92037-9102
(858) 909-9033
(858) 429-4009
Mailing address
9921 CARMEL MOUNTAIN RD, #190, SAN DIEGO, CA 92129-2813
(858) 909-9033
(858) 429-4009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G86513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG0405
RAILROAD MEDICARE GROUP ID
CA
01
—
G86513
CA MEDICAL LICENSE NUMBER
CA
01
—
P00410632
RAILROAD MEDICARE PIN
CA
Enumeration date
09/27/2006
Last updated
04/18/2024
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