Dae Keun Joo M.D.

NPI 1164757076 - Otolaryngology - 207Y00000X

NPI Details
NPI 1164757076
Gender Male
Enumeration Date 10/09/2009
Last Updated 03/19/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
10800 MAGNOLIA AVE
RIVERSIDE CA, 92505-3043, US
Phone (951) 353-4738
Fax
Business Location
4000 HOOSIER LAWN WAY
YORBA LINDA CA, 92886-7025, US
Phone (310) 508-5377
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State California
License Number A93394
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According to our database, Dr. Dae Keun Joo M.D. NPI is 1164757076, taxonomy code is 207Y00000X and license number is A93394, license state is located at California. Dae Keun Joo M.D. physically located at 10800 Magnolia Ave, Riverside CA, 92505-3043. NPI Number Dae Keun Joo M.D. has the Individual type.

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1164757076 NPI number is provided on an as is basis without warranty of any kind. 1164757076 is maintained by the National Plan & Provider Enumeration System. The contents of Dae Keun Joo M.D. are for informational purposes only.