Provider Demographics
NPI:1508167354
Name:YOON, HYONOK (RPH)
Entity Type:Individual
Prefix:MS
First Name:HYONOK
Middle Name:
Last Name:YOON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 SUMMIT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3641
Mailing Address - Country:US
Mailing Address - Phone:510-893-8841
Mailing Address - Fax:510-893-0663
Practice Address - Street 1:2844 SUMMIT ST STE 101
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3641
Practice Address - Country:US
Practice Address - Phone:510-893-8841
Practice Address - Fax:510-893-0663
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60955183500000X
NV17287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist