Provider Demographics
NPI:1073639381
Name:YOON, DONG JOON (DC)
Entity Type:Individual
Prefix:DR
First Name:DONG JOON
Middle Name:
Last Name:YOON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12620 BROOKHURST ST # 5
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4875
Mailing Address - Country:US
Mailing Address - Phone:714-539-1717
Mailing Address - Fax:714-539-5555
Practice Address - Street 1:12620 BROOKHURST ST # 5
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4875
Practice Address - Country:US
Practice Address - Phone:714-539-1717
Practice Address - Fax:714-539-5555
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor