Provider Demographics
NPI:1346232568
Name:YOON, CHRIS SUNG-IL (MD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:SUNG-IL
Last Name:YOON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10867
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0867
Mailing Address - Country:US
Mailing Address - Phone:661-325-8375
Mailing Address - Fax:661-633-3799
Practice Address - Street 1:5001 COMMERCE DR
Practice Address - Street 2:SUITE #100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0648
Practice Address - Country:US
Practice Address - Phone:661-325-8375
Practice Address - Fax:661-633-3799
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50276208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA183771100OtherOFFICE OF WORKER'S COMP
CA00A502760Medicaid
CA00A502760OtherBLUE SHILED PIN
CAPR4050690001OtherCIGNA VENDOR NUMBER
CA00A502760Medicaid
CAPR4050690001OtherCIGNA VENDOR NUMBER