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Provider Information for 1346887171


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ALEXANDER YOO LMFT


Sex: Male

NPI: 1346887171
Last Updated: 2019-11-27
Certification Date:

Details

NameValue
NPI1346887171
Enumeration Date2019-11-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 9720 WILSHIRE BLVD STE 710
BEVERLY HILLS, CA 90212-2016
United States

Phone: 323-834-9828 | Fax:
 
Primary Practice Address 959 3/4 S KINGSLEY DR
LOS ANGELES, CA 90006-1215
United States

Phone: 310-595-0447 | Fax:
 
Secondary Practice Address(es)

9720 WILSHIRE BLVD STE 710
BEVERLY HILLS, CA 90212-2016
United States

Phone: 323-834-9828 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA102886