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Kristopher Kuksu Yoon

Internal Medicine

Allopathic & Osteopathic Physicians

1245 16th St Ste 125, Santa Monica, CA 90404-1240

PECOS Enrollment

This provider is enrolled in PECOS as KRISTOPHER YOON.

Based on the most recent information from CMS, provider Kristopher Kuksu Yoon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1760800676
Provider Type
Individual
Full Name
Yoon, Kristopher Kuksu
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/29/2014
Last Updated
6/7/2019

Contact Information

Practice Location

1245 16th St Ste 125, Santa Monica, CA 90404-1240

(310) 315-8900

(310) 315-8902

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-5256

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A154452 California
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License A154452 California

Kristopher Kuksu Yoon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Lee, Julia

Kang, Daniel Won

Kojima, Noah

Talamantes, Efrain

Ng, Jason Patrick

Santa Monica Bay Area Physicians

Yeh, Joseph L.

Keith, Rebecca Ray

Baharvar, James Jamshid

Mcgowan, Mark Scheer