Provider Demographics
NPI:1275722068
Name:BYUN, WOOJEONG JUSTIN
Entity Type:Individual
Prefix:
First Name:WOOJEONG
Middle Name:JUSTIN
Last Name:BYUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17332 VON KARMAN AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6290
Mailing Address - Country:US
Mailing Address - Phone:949-336-8787
Mailing Address - Fax:949-336-8789
Practice Address - Street 1:17332 VON KARMAN AVE STE 140
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6290
Practice Address - Country:US
Practice Address - Phone:949-336-8787
Practice Address - Fax:949-336-8789
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor