Provider Demographics
NPI:1568041226
Name:JANIE H YOO MD LLC
Entity type:Organization
Organization Name:JANIE H YOO MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-245-8765
Mailing Address - Street 1:4368 KUKUI GROVE ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1674
Mailing Address - Country:US
Mailing Address - Phone:808-245-8765
Mailing Address - Fax:
Practice Address - Street 1:4368 KUKUI GROVE ST STE 102
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1674
Practice Address - Country:US
Practice Address - Phone:808-245-8765
Practice Address - Fax:808-245-8816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty