Organization
BO Y SUH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BO Y SUH (MD)
(714) 643-9204
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD STE 401, GARDEN GROVE, CA 92843-1903
(714) 643-9203
(714) 643-9205
Mailing address
12555 GARDEN GROVE BLVD STE 401, GARDEN GROVE, CA 92843-1903
(714) 643-9203
(714) 643-9205
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
07/29/2020
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