Provider Demographics
NPI:1134457690
Name:JUN, YONGMI
Entity Type:Individual
Prefix:MRS
First Name:YONGMI
Middle Name:
Last Name:JUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7190 MELROSE ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-6439
Mailing Address - Country:US
Mailing Address - Phone:714-449-1125
Mailing Address - Fax:714-562-8729
Practice Address - Street 1:7190 MELROSE ST UNIT A
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-6439
Practice Address - Country:US
Practice Address - Phone:714-449-1125
Practice Address - Fax:714-562-8729
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker