Provider Demographics
NPI:1285858274
Name:HAN, JI YON (MD)
Entity Type:Individual
Prefix:DR
First Name:JI
Middle Name:YON
Last Name:HAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4902 IRVINE CENTER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3334
Mailing Address - Country:US
Mailing Address - Phone:949-757-3690
Mailing Address - Fax:949-596-9146
Practice Address - Street 1:4902 IRVINE CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3334
Practice Address - Country:US
Practice Address - Phone:949-757-3690
Practice Address - Fax:949-596-9146
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA108338208000000X
SCLL29307208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics