Provider Demographics
NPI:1669653739
Name:YOUN, JOSEPH (ACUPUNTURIST)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:YOUN
Suffix:
Gender:M
Credentials:ACUPUNTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 PECK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-2482
Mailing Address - Country:US
Mailing Address - Phone:626-443-5102
Mailing Address - Fax:
Practice Address - Street 1:2822 PECK RD STE 101
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-2482
Practice Address - Country:US
Practice Address - Phone:626-443-5102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-17
Last Update Date:2007-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6496171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist