Provider Demographics
NPI:1598030413
Name:YEN, JUNE HONG (RPH)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:HONG
Last Name:YEN
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 1:20554 MISSIONARY RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3529
Mailing Address - Country:US
Mailing Address - Phone:909-468-9408
Mailing Address - Fax:
Practice Address - Street 1:215 DEININGER CIR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-1707
Practice Address - Country:US
Practice Address - Phone:951-493-2368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist