Provider Demographics
NPI:1619156692
Name:YOON, BYUNG H (LAC, DOM)
Entity Type:Individual
Prefix:DR
First Name:BYUNG
Middle Name:H
Last Name:YOON
Suffix:
Gender:M
Credentials:LAC, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 PIONEER BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4072
Mailing Address - Country:US
Mailing Address - Phone:562-860-0975
Mailing Address - Fax:562-860-0956
Practice Address - Street 1:17510 PIONEER BLVD STE 202
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-4072
Practice Address - Country:US
Practice Address - Phone:562-860-0975
Practice Address - Fax:562-860-0956
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 3173171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist