Organization
CARMEN JAN YOO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN JAN YOO O. D. (PRESIDENT)
(714) 894-5556
Entity
Organization
Contact information
Practice address
15057 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647-2710
(714) 894-5556
(714) 895-3126
Mailing address
15057 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647-2710
(714) 894-5556
(714) 895-3126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11663TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005590
—
CA
Enumeration date
04/28/2009
Last updated
09/09/2009
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