Look up the most recent NPI and PECOS records

Bo Ram Yoo

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3020 Childrens Way - Mc 5018, San Diego, CA 92123

PECOS Enrollment

Based on the most recent information from CMS, provider Bo Ram Yoo 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 yesterday at 11:51 AM.

Profile Details

Provider ID
1578145306
Provider Type
Individual
Full Name
Yoo, Bo Ram
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/21/2021
Last Updated
2/18/2025

Contact Information

Practice Location

3020 Childrens Way - Mc 5018, San Diego, CA 92123

(858) 966-7759

Unlisted Fax

Mailing Location

3020 Childrens Way - Mc 5018, San Diego, CA 92123-4223

(909) 685-7124

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A182499 California
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A182499 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Bo Ram Yoo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Heyneman, Ellen K

Bahadur, Neha

Hong, Suzie

Tung, Eric Yuanker

Hall, Joseph Robert

Omorodion, Aisha

Masillamoni, Stephen Ranjit

Shah, Hema Ashvinbhai

Mcginley, Nancy Rodriguez

Patel, Karishma