Provider Demographics
NPI:1194915868
Name:YOO, MICHAEL J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:YOO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22 ODYSSEY
Mailing Address - Street 2:SUITE 270A
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3186
Mailing Address - Country:US
Mailing Address - Phone:949-791-7941
Mailing Address - Fax:888-345-1631
Practice Address - Street 1:22 ODYSSEY
Practice Address - Street 2:SUITE 270A
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3186
Practice Address - Country:US
Practice Address - Phone:949-791-7941
Practice Address - Fax:888-345-1631
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2015-05-27
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Provider Licenses
StateLicense IDTaxonomies
OH35095067208200000X
CAA95823207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery