Provider Demographics
NPI:1659965309
Name:YOON, ANDREW JIHUN (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JIHUN
Last Name:YOON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7521 EDINGER AVE UNIT 4626
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-0616
Mailing Address - Country:US
Mailing Address - Phone:214-422-6715
Mailing Address - Fax:
Practice Address - Street 1:7903 ATLANTIC AVE STE G
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:CA
Practice Address - Zip Code:90201-5926
Practice Address - Country:US
Practice Address - Phone:323-773-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist