Provider Demographics
NPI:1093984437
Name:YOON, JOON KI (MD)
Entity Type:Individual
Prefix:DR
First Name:JOON
Middle Name:KI
Last Name:YOON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:241 N FIGUEROA ST
Mailing Address - Street 2:CENTRAL HEALTH CENTER, SUITE 312
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2601
Mailing Address - Country:US
Mailing Address - Phone:213-240-8049
Mailing Address - Fax:213-202-6096
Practice Address - Street 1:241 N FIGUEROA ST
Practice Address - Street 2:CENTRAL HEALTH CENTER, SUITE 312
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2601
Practice Address - Country:US
Practice Address - Phone:213-240-8049
Practice Address - Fax:213-202-6096
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA38293207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF00360Medicare UPIN